消化道毕Ⅰ式重建对胃癌患者术后胆囊收缩功能的影响

Effect of Billroth Ⅰ reconstruction of digestive tract on the contraction function of gallbladder in patients with gastric cancer after operation

目的研究消化道毕Ⅰ式重建对胃癌患者术后胆囊收缩功能的影响。方法选择2016年1月至2019年3月本院收治的60例胃癌患者作为研究对象,采取抽签分组方法将其分为观察组(消化道毕Ⅰ式重建)和对照组(消化道毕Ⅱ式重建),每组30例。比较两组手术前、后的胆囊容积、血清CCK水平、胆囊排空率。结果术后,观察组胆囊容积小于对照组,血清CCK水平低于对照组,胆囊排空率高于对照组(P<0.05)。结论胃癌手术中实施消化道毕Ⅰ式重建,有利于术后患者胆囊收缩功能恢复。

Objective To study the effect of BillrothⅠreconstruction of digestive tract on the contraction function of gallbladder in patients with gastric cancer after operation.Methods From January 2016 to March 2019,60 patients with gastric cancer admitted in our hospital were selected as the research objects,and were divided into observation group(BillrothⅠreconstruction of digestive tract)and control group(BillrothⅡreconstruction of digestive tract)by drawing lots,with 30 cases in each group.The volume of gallbladder,serum CCK level and the gallbladder emptying rate in the both groups before and after operation were compared.Results After operation,the gallbladder volume of the observation group was smaller than that of the control group,the serum CCK level was lower than that of the control group,and the gallbladder emptying rate was higher than that of the control group(P<0.05).Conclusion In the operation of gastric cancer,the BillrothⅠreconstruction of digestive tract is beneficial to the recovery of gallbladder contraction function of patients after operation.