摘要
目的探讨单腔空肠间置代胃术(Henley术)和食管空肠Roux-en-Y吻合术加P袢型贮袋两种消化道重建术式在全胃切除消化道重建中的价值。方法前瞻性将31例行全胃切除术的胃癌患者随机分为:A组(16例),单腔空肠间置代胃术(Henley术);B组(15例),食管空肠Roux-en-Y吻合术加P袢型贮袋。术后随访1年,比较两组患者的血浆营养参数及体重变化,观察临床疗效。结果两种术式都有一定的“代胃”功能。术后A组血红蛋白(102±11)g/L,总蛋白(6.8±3.9)g/L,体重下降(1.0±1.7)kg;B组血红蛋白(98±12)g/L,总蛋白(6.3±3.0)g/L,体重下降(4.0±2.3)kg;两组总蛋白与体重下降数值比较,P<0.05,差异有统计学意义;A组的血浆营养参数及体重增长指标优于B组。结论间置空肠代胃术是全胃切除术后消化道重建较为合理的术式。
Objective To evaluate the clinical value of two alimentary reconstruction methods after total gastrectomy for gastric cancer. Methods Thirty-one patients undergoing total gastrectomy for gastric cancer were prospectively randomly divided into two groups： single-canal jejunum interposition（n = 16, group A） and P pouch with Roux-en-Y esophagojejunostomy （n = 15, group B）. All patients were followed up for one year. The serum nutritional parameters, body weight change and clinical effects between the two groups were compared. Results Both of the reconstruction types had the replacement of gastric function. The hemoglobin level was （102 ± 11） g/L, the total protein level （6.8 ±3.9） g/L, and the body weight loss （ 1.0 ± 1.7） kg in group A, while （98 ± 12） g/L, （6. 3 ± 3.0） g/L and （4.0 ± 2.3） kg in group B. There were significant differences between the two groups （all P 〈 0. 05）. Conclusion The single-canal jejunum interposition reconstruction after total gastrectomy（Henley） is a better surgical method.
出处
《中华胃肠外科杂志》
CAS
2006年第1期23-25,共3页
Chinese Journal of Gastrointestinal Surgery
