胃癌患者全胃切除术后两种消化道重建术式的比较

Comparison of Gastric Cancer Patients with Total Gastrectomy Surgical after Two Types Gastric Digestive Tract Reconstruction

目的分析讨论胃癌全胃切除术后两种消化道重建术对胃癌手术的疗效影响。方法 2009年11月至2014年11月我院普外科接收胃癌患者共计60例,依据随机分配法则均分为观察组和对照组,所有患者行胃全切术治疗。观察组30例患者行Orr式Roux-en-Y空肠食管吻合术,对照组30例患者行Moynihan吻合术,比较两小组手术相关指标以及术后不良反应发生情况。结果两组患者经不同手术方案治疗后均顺利出院,手术成功。观察组患者在手术时间、术中出血量、住院时间等相关治疗指标上优于对照组;观察组患者术后不良反应发生率为3.33%、对照组为33.33%,上述差异均具有统计学意义(P<0.05)。结论对于胃癌患者,行Orr式Roux-en-Y空肠食管吻合术可以从一定程度上减轻对患者的损伤,有利于患者恢复,同时安全性较高,建议推广。

Objective To analyze and discuss the curative effect of two types of digestive tract reconstruction after surgical operation on 60 cases of total resection of gastric carcinoma. Methods 60 gastric cancer patients in general surgery department of our hospital from November 2009 to November 2014, according to random allocation rule, they were divided into observation group and control group, all of them underwent gastric resection treatment, observation group（30 cases） were treated with Orr Roux-en-Y jejunal anastomosis, control group（30 patients） underwent Moynihan anastomosis, compared two groups＇ indicators related to the operation and postoperative side effects. Results Two groups＇ patients were successfully discharged after different surgical treatment, the operation was successful. Observation group＇s operation time, amount of bleeding, hospitalization time and other related therapeutic index were better than control group. Postoperative incidence of side effects was 3.33% and it was 33.33% in control group, the difference had statistical significance（P 〈0.05）. Conclusion Orr Roux-en-Y jejunal anastomosis can reduce the injury to the patient from a certain extent on patients with gastric cancer; it is conducive to the recovery of patients and has higher security, which is proposed to popularize.