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自1986年3月以来,我们在全胃切除后,采用带蒂空肠段重建胃囊和带蒂空肠浆肌片重建幽门括约肌的术式重建消化道,治疗胃癌病人52例,其中腺癌45例,平滑肌肉唐5例,淋巴肉瘤2例。术后均进行了随访,并利用钡餐、胃镜、B超及病人术后生活质量等主、客观指标对术后效果进行监测。得到根治性切除术病人的5年生存率为45.7％(20/42),生活质量优者为90.4％(47/52),胆石症的发病率为7.7％(3/39),术后碱性返流食管炎的发病率为1.9％(1/52),无倾倒综合症发生,临床效果优于同类手术。
Since March 1986, after total gastrectomy, we reconstructed the digestive tract by reconstructing the gastric sac with jejunal jejunal segments and jejunoplasmic sphincter muscles to reconstruct the pyloric sphincter. 52 patients with gastric cancer were treated, including 45 adenocarcinomas. 5 cases of smooth muscle and 2 cases of lymphosarcoma. Follow-ups were followed up, and postoperative outcomes were monitored using barium meal, gastroscope, B-ultrasound, and patient’s postoperative quality of life. The 5-year survival rate for radical resection patients was 45.7% (20/42), the quality of life was 90.4% (47/52), and the incidence of cholelithiasis was 7.7% (3/39). The incidence of reflux oesophagitis is 1.9% (1/52), and there is no dumping syndrome. The clinical effect is better than similar surgery.