摘要
目的:探讨胃底贲门癌根治术后三种不同消化道重建方式效果。方法:收集胃底贲门癌患者32例,随机分为间置空肠吻合术组、空肠食管Roux-en-Y吻合术组、食管残胃后壁吻合术组3组,比较3组患者的治疗效果。结果:食管残胃后壁吻合术组返流性食管炎发生率高于间置空肠吻合术组(P<0.05);手术后,间置空肠吻合术组患者在整体健康状况、便秘、恶心呕吐上评分均低于空肠食管Roux-en-Y吻合术组和食管残胃后壁吻合术组(P<0.05);间置空肠吻合术组患者的腹泻评分高于空肠食管Roux-en-Y吻合术组和食管残胃后壁吻合术组(P<0.05)。结论:间置空肠吻合术重建消化道具有较低的返流性食管炎发生率和较好的预后。
Objective：To compare the different kinds of digestive tract reconstruction after radical gastrectomy in the treatment of gastric cardia carcinoma.Methods：32patients randomly divided into interstitial anastomosis group,jejunal Roux-en-Y anastomosis group,the posterior wall of esophagus gastric remnant anastomosis group,Compare the treatment effect between the three groups.Result：The posterior wall of esophagus gastric remnant anastomosis group was higher than the stromal anastomosis group in the incidence rate of reflux esophagitis（P〈0.05）;after the operation,interstitial anastomosis group was lower than jejunal Roux-en-Y anastomosis group and the posterior wall of esophagus gastric remnant anastomosis group in overall health,constipation,nausea and vomiting,diarrhea（P〈0.05）;interstitial anastomosis group was higher than jejunal Roux-en-Y anastomosis group and the posterior wall of esophagus gastric remnant anastomosis group（P〈0.05）,were more than those of jejunal Roux-en-Y anastomosis group and the posterior wall of esophagus gastric remnant anastomosis group（P〈0.05）.Conclusion：Interstitial reconstruction of digestive tract anastomosis had lower incidence rate of reflux esophagitis and better prognosis.
出处
《陕西医学杂志》
CAS
2015年第12期1585-1586,共2页
Shaanxi Medical Journal
基金
四川省卫生厅科研课题立项项目(120025)
关键词
胃肿瘤/外科学
@消化道重建
Stomach neoplasms/surgery
@Digestive tract reconstruction
