远端逆蠕动空肠囊代胃术的临床研究

Clinic study of distal antiperistaltic jejunal reservoir for stomach replacement

目的 :比较两种全胃切除术后消化道重建术式的临床应用效果。方法 :两组患者分别行P式Roux en Y食管—空肠吻合术 (P组 )和远端逆蠕动空肠囊代胃术 (D组 ) ,对两组的营养状态、手术效果进行对比研究。结果 :P组手术后 1年体重、血红蛋白、血浆总蛋白和白蛋白分别为 (5 2 .5± 3.8)kg、(98.0± 6 )g/L、(5 2 .0± 2 ) g/L、(2 8.0± 3) g/L ;D组则分别为 (5 9.2± 4 .8)kg、(12 1.0± 5 )g/L、(6 2 .0±4 ) g/L、(35 .4± 2 ) g/L。两组患者各指标差异均有统计学意义 (P <0 .0 5 )。 结论 :远端逆蠕动空肠囊代胃术术后全身营养状况均明显优于传统的Roux en Y吻合术 ,且操作简便 。

Objective:To compare the clinical effects of different reconstructive alimentary canal for total gastrectomy.Methods: The patients were divided into P loop/Roux-en-Y and Distal antiperistaltic jejunal reservoir group.The nutritional status of these two groups was investigated.Results:The differences of body weight,hemoglobin,total albumin and albumin afer operation one year in P loop group were(52.5±3.8)kg,(98.0±6)g/L,(52.0±2)g/L,(28.0±3g)/L;meanwhile those in Distal group were(59.2±4.8)kg,(121.0±5)g/L,(62.0±4)g/L,(35.4±2)g/L.These differences between two groups were significant(P<0.05)?Conclusion: Distal antiperistaltic jejunal reservoir for stomach replacement is a better surgical method.