摘要
目的:探讨不同消化道重建方式应用于胃癌手术中的临床价值。方法:选取胃癌行胃全切加淋巴结清扫患者70例,随机分为两组,分别采取Roux-en-Y吻合术和改良空肠P袢代胃术治疗。对比分析两组患者的治疗效果。结果:术后6个月观察组患者体重下降、血清总蛋白和血清白蛋白含量改善及并发症发生率方面均较对照组患者有明显优势(P<0.05)。结论:不同的消化道重建方式对于胃肠手术患者的术后恢复有着显而易见的影响,对于胃癌手术患者而言P型空肠袢吻合术是一种相对较好的消化道重建方式。
Objectives:To observe the clinical value of different modes of digestive tract reconstruction applied in gastric cancer operation.Methods:70 patients with gastric cancer treated with gastric resection and lymph node dissection were selected and divided into 2 groups randomly,which were given the treatment of Roux-en-Y anastomosis and P type jejunal anastomosis instead of gastric surgery.Comparing and analyzing the clinical effect of patients in 2 groups.Results:As for the patients in the observation group,6 months after operation,weight dropped,serum total protein and serum albumin content improved and the goal of complication rate,which had significant advantage compared with the control group(p0.05).Conclusions:Different modes of digestive tract reconstruction have evident influence on postoperative recovery of patients treated with gastrointestinal operation.As for the patients with gastrointestinal operation,P type jejunal anastomosis is a kind of relatively good digestive tract reconstruction mode.
出处
《求医问药(下半月刊)》
2012年第10期462-463,共2页
Seek Medical and Ask The Medicine
关键词
消化道重建
胃癌
digestive tract reconstruction
gastric cancer