P型空肠袢代胃术对胃癌患者胃切除后消化道重建术后生存质量的影响研究

Study on Influence of P-Type Jejunal Loop Gastric Surgery on Quality of Life in Digestive Tract Reconstruction of Patients with Gastric Cancer after Gastrectomy

目的探讨P型空肠袢代胃术应用于胃癌患者胃切除后消化道重建术的临床效果。方法选取我院2017年1月至2018年2月收治的76例胃癌患者,随机分为研究组和对照组各38例。对照组行Lahey+Braun吻合术,研究组采用P型空肠袢代胃术治疗,比较两组的手术时间、术中出血量、体质量增加、术后并发症发生率及术后生存质量评分。结果研究组的手术时间、术中出血量、体质量增加均明显优于对照组(P <0.05)。研究组的术后并发症发生率为2.63%,低于对照组的15.79%(P <0.05)。除家庭支持外,研究组的术后生存质量评分均显著高于对照组(P <0.05)。结论 P型空肠袢代胃术应用于胃癌患者胃切除后消化道重建术的效果显著,能够改善手术相关指标,降低术后并发症发生率,提高术后生存质量,改善患者预后,是一种理想的手术方式。

Objective To explore the clinical effect of P-type jejunal loop gastric surgery in the application of digestive tract reconstruction of patients with gastric cancer after gastrectomy. Methods 76 cases of patients with gastric cancer admitted to our hospital from January 2017 to February 2018 were selected and randomly divided into study group and control group, with 38 cases each group. The control group received Lahey + Braun anastomosis, and the study group received the P-type jejunal loop gastric surgery. The operation time,intraoperative blood loss, body mass index gain, incidence of postoperative complications and postoperative quality of life scores were compared between the two groups. Results The operation time, intraoperative blood loss and body mass index gain of the study group were significantly better than those of the control group(P <0.05). The incidence of postoperative complications of the study group was 2.63%,significantly lower than 15.79% of the control group(P <0.05). Except for family support, the quality of life scores of the study group were significantly higher than those of the control group(P <0.05). Conclusions P-type jejunal loop gastric surgery in the application of digestive tract reconstruction of patients with gastric cancer after gastrectomy has significant effect, can improve the operation-related indicators,reduce the incidence of complications, and improve the quality of life and prognosis after operation, which is an ideal operation method.