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Comparative study on different reconstruction procedures after total gastrectomy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1671-0274.2004.01.008
- Key Word:
- 胃肿瘤;全胃切除术;消化道重建
Abstract： 目的分析胃癌患者全胃切除术后 3种空肠代胃消化道重建术式的临床效果.方法将 43例胃癌患者按全胃切除术后重建消化道方式的不同,分为 Roux-en-Y型 P空肠袢食管吻合术组( R组, 16例)、 Roux-en-Y型 J形空肠贮袋食管吻合术组( JP-R组, 12例)及间置空肠贮袋食管吻合术组( IP组, 15例).比较 3种术式组患者的术后死亡率、并发症发生率、进食后症状、单餐的进食量、体重和血清营养指标以及胃排空时间.结果 JP-R组和 IP组的术后死亡率和并发症发生率与 R组相比,差异无显著性意义( P >0.05). JP-R组和 IP组较 R组能显著提高进食量和增加体重,部分血清营养指标明显改善,胃排空时间亦延长( P< 0.05).而 JP-R组和 IP组之间差异无显著性意义.结论 Roux-en-Y型 J形空肠贮袋食管吻合术与间置空肠贮袋食管吻合术,是胃癌行全胃切除术后消化道重建的较理想术式,能明显改善患者术后的生活质量.
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