胃癌切除后不同重建方式的比较分析

The Comparative Analysis of Different Reconstruction Methods after Gastric Cancer Resection

目的:探讨胃癌切除后不同重建方式的情况。方法:分析本院收治胃癌全胃切除术40例临床资料,依据全胃切除术后消化道重建术式不同分为重建Ⅰ组(胃空肠Roux-en-y吻合术组)20例和重建Ⅱ组(非离断式Roux-en-y吻合术组)20例。结果:重建Ⅱ组胃癌全胃切除术患者消化道重建时间、术式重建出血量、血清总蛋白、血清白蛋白明显优于重建Ⅰ组,比较差异均有统计学意义(P<0.05),同时两组腹痛腹泻、反流性食管炎、"倾倒"综合征发生率均无明显差异。结论:非离断式Roux-en-y吻合术创伤小,可以促进术后患者消化功能恢复,提高患者生活质量,值得临床推广应用。

Objective： To approach after gastric cancer resection by different reconstruction methods. Method： To analyze 40 cases clinical data by different reconstruction methods in the hospital, which was to be divided into reconstruction of I group （ Roux-en-y gastric jejunum anastomosis group ） 20 cases and reconstruction of II group （ Non isolated type Roux-en-y anastomosis group ） 20 cases. Result： The digestive tract reconstruction time, amount of bleeding, surgical reconstruction of total serum protein, serum albumin of reconstruction of II group were better than reconstruction of I group, the difference was statistically significant （P〈0.05）then abdominal pain, diarrhea, reflux esophagitis, dumping syndrome incidence of reconstruction of two groups were no difference （P〉0.05） .Conclusion： The non isolated type Roux-en-y anastomosis of small trauma can promote the recovery of postoperative patients with digestive function, improve patients＇ quality of lives, which is worth to be used.