幽门成形术对贲门癌术后胃食管反流的治疗研究

Therapeutic effect of pyloroplasty on postoperative gastroesophageal reflux in cardia cancer

目的探讨幽门成形术对贲门癌术后降低胃食管反流的临床效果。方法选取2013年6月到2016年6月,新疆维吾尔自治区人民医院82例贲门癌患者为研究对象,其中47例患者行贲门癌根治术作为对照组;35例患者行贲门癌根治术附加幽门成形术作为实验组,比较两组患者的术后观察指标。结果实验组的肠蠕动恢复时间、胃管置放时间、胃液引流量、反酸及胸骨后烧灼感、反流性食管炎发生率均低于对照组,差异有统计学意义(P <0. 05)。结论幽门成形术能有效降低贲门癌术后胃食管反流的发生。

ObjectiveTo investigate the clinical effect of pyloroplasty on gastroesophageal reflux after cardia cancer surgery.MethodsA total of 82 patients with cardia cancer who underwent surgery in our hospital from June 2013 to June 2016 were selected as the study subjects.Forty-seven patients underwent cardia cancer radical operation as the control group.35 patients underwent cardia cancer radical resection and pyloroplasty,as an experimental group,and compare the two groups of patients.ResultsThe recovery time of intestinal peristalsis,gastric tube placement time,gastric drainage,acid reflux and post-sternal burning sensation and reflux esophagitis in experimental group were lower than those in control group(P<0.05).ConclusionPyloroplasty can effectively reduce the incidence of gastroesophageal reflux after cardia cancer,and is worthy of clinical application.