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目的:探讨胃癌行全胃切除术后Roux_en_y吻合术重建消化道的疗效。方法:将我院2010年2月至2011年5月收治的68例行全胃切除的胃癌患者分为观察组和对照组,观察组采用非离断式食管空肠改良Roux-en-Y吻合术进行治疗(URY),对照组采用空肠P袢代胃术进行治疗(PRY)。治疗结束后,比较两组患者的临床效果。结果:观察组的手术时间、3个月后RSS的发生率显著优于对照组(P<0.05);两组患者的营养学指标、生存率差异无统计学意义(P>0.05)。结论:胃癌行全胃切除术后非离断式食管空肠改良Roux-en-Y吻合术(URY)重建消化道的疗效较好,可提高患者术后的消化吸收功能。
Objective: To investigate the efficacy of Roux_en_y anastomosis in the reconstruction of gastrointestinal tract after total gastrectomy for gastric cancer. Methods: 68 cases of total gastrectomy patients with gastric cancer admitted to our hospital from February 2010 to May 2011 were divided into observation group and control group. The observation group was treated with modified Roux-en-Y anastomosis (URY), while the control group was treated with jejunal P 袢 on behalf of the stomach (PRY). After treatment, the clinical effects of the two groups were compared. Results: The operation time of the observation group and the incidence of RSS after 3 months were significantly better than those of the control group (P <0.05). There was no significant difference in nutritional index and survival between the two groups (P> 0.05). Conclusion: The effect of Roux-en-Y anastomosis (URY) for reconstructing the digestive tract after gastric cancer gastrectomy is better, which can improve the postoperative digestion and absorption of patients.