保留幽门空肠间置代胃术治疗胃上部癌临床研究

The clinical study of the pylorus-preserving jejunum interposition for the reconstruction of digestive tract on the treatment of upper gastric carcinoma

目的:探讨胃上部癌根治术后消化道重建的理想手术方法。方法:选取2011年3月-2015年3月于我院进行治疗的34例胃上部癌患者,采用保留幽门的空肠间置代胃术进行治疗,对临床疗效进行评估。结果:全组34例病人手术一周后开始半流质进食,手术完成后获得较好恢复,未发生反流性食管炎、梗阻等并发症,所有患者术后3年血红蛋白、白蛋白和总蛋白含量均恢复至正常水平。结论:胃上部癌可选择保留幽门空肠间置代胃术进行治疗,可重新建立消化道,病人可以获得较好恢复。

Objective： To discuss the ideal operation method of reconstructive alimentary canal after radical resection of upper gastric carcinoma.Methods：34 patients with upper gastric carcinoma treated in our hospital from March, 2011 to March, 2013 were selected, adopted the method of pylorus-preserving jejunum interposition for the reconstruction of digestive tract, to evaluate the clinical effect. Results： 34 patients eated semi-liquid food after operation for one week, got a good recovery after operation, there weren＇t such complications as reflux esophagitis.obstruction, all patients＇ hemoglobin, albumin and total protein content returned to normal level after operation for 3 years. Conclusion： The upper gastric carcinoma can he treated with pylorus-preserving jejunum interposition , it can reconstruct digestive tract, the patients can get better recovery.