论文部分内容阅读
目的:评析胃恶性肿瘤行全胃切除术中保留迷走神经的可行性。方法:选取72例行全胃切除的胃恶性肿瘤患者为实验组,术中对迷走神经进行保留,另选取72例未保留迷走神经的全胃切除术的胃恶性肿瘤患者为对照组,统计比较两组手术相关指标,术后进食以及胃肠功能恢复情况等的差异。结果:两组患者在手术耗时、失血量、淋巴结清扫数目、并发症等均无明显差异(P>0.05),而实验组术后排气时间、排便时间显著短于对照组(P<0.05);实验组术后进食困难、胃瘫、餐后不适、呕吐以及习惯性腹泻等的发生率均显著低于对照组(P<0.05)。结论:胃恶性肿瘤在行全胃切除中保留迷走神经并不会影响手术效果或增加手术创伤与并发症,但术后胃肠功能恢复较快,有助于改善患者术后生活质量。
Objective: To evaluate the feasibility of preserving the vagus nerve during total gastrectomy for gastric malignancies. Methods: Totally 72 gastric cancer patients undergone total gastrectomy were selected as the experimental group. The vagus nerve was preserved in the operation. Another 72 patients with gastric cancer who underwent total gastrectomy without vagal nerve preservation were selected as the control group. Surgery-related indicators, postoperative eating and gastrointestinal function recovery and other differences. Results: There was no significant difference between the two groups in operation time, blood loss, the number of lymph node dissection and complications (P> 0.05), while the exhaust time and defecation time in the experimental group were significantly shorter than those in the control group ). The incidence of postoperative dysphagia, gastroparesis, postprandial discomfort, vomiting and habitual diarrhea in the experimental group were significantly lower than those in the control group (P <0.05). Conclusion: The preservation of the vagus nerve in gastric gastrectomy does not affect the surgical outcome or increase the surgical trauma and complications. However, the postoperative gastrointestinal function recovery is rapid and helps to improve the postoperative quality of life.