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目的:分析探讨保留迷走神经胃癌根治术治疗胃癌的治疗效果。方法:选择2013年2月~2014年11月接受治疗的胃癌患者86例,将其按照年龄、病情等随机分为对照组、试验组,每组43例。对照组患者采用传统胃癌根治术,试验组患者采用保留迷走神经胃癌根治术,比较两组患者的手术时间、术中出血量、首次排气时间、首次排便时间以及并发症发生情况。结果:试验组患者的首次排气时间与首次排便时间明显优于对照组患者,两组间比较差异显著,P<0.05具有统计学意义;试验组患者手术时间、术中出血量与对照组患者比较差异不显著,P>0.05无统计学意义;试验组患者的并发症发生率明显低于对照组患者,两组间比较差异显著,P<0.05具有统计学意义。结论:胃癌患者采用保留迷走神经根治术可取得良好治疗效果,值得临床推广应用。
Objective: To analyze and discuss the treatment effect of preserving gastric cancer by radical gastrectomy of vagus nerve. Methods: Eighty-six gastric cancer patients who were treated from February 2013 to November 2014 were randomly divided into control group and experimental group according to their age, condition and so on, 43 cases in each group. The patients in the control group were treated by radical gastrectomy. The patients in the test group were treated by radical gastrectomy with preserved vagus nerve. The operation time, intraoperative blood loss, time to first excretion, time to first defecation and complication were compared between the two groups. Results: The time of the first excretion and the time of the first defecation in the test group were significantly better than those in the control group. There was significant difference between the two groups, P <0.05 was statistically significant. The operation time, intraoperative blood loss and the control group The difference was not significant, P> 0.05 was not statistically significant; the incidence of complications in the experimental group was significantly lower than the control group, significant difference between the two groups, P <0.05 was statistically significant. Conclusion: Gastric cancer patients with preserved vagotomy can achieve good therapeutic effect, worthy of clinical application.