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目的探讨全胃切除空肠P袢代胃术治疗贲门癌的临床效果。方法 86例贲门癌患者,随机分为研究组与对照组,每组43例。对照组患者给予近侧胃切除术进行治疗,研究组患者给予全胃切除空肠P袢代胃术进行治疗。对比分析两组患者的临床治疗效果。结果两组患者手术时间、术中失血量比较,差异无统计学意义(P>0.05);研究组每日饮食次数、每日饮食量、胃肠排空时间与对照组比较,差异具有统计学意义(P<0.05);研究组并发症发生率低于对照组(P<0.05)。结论全胃切除空肠P袢代胃术治疗贲门癌有着较好的临床效果,且并发症发生率低,安全性高,值得进行深入研究和推广。
Objective To investigate the clinical effect of total gastrectomy of jejunum P 袢 on gastric cardia cancer. Methods 86 patients with cardiac cancer were randomly divided into study group and control group, with 43 cases in each group. Patients in the control group were treated with proximal gastrectomy, and patients in the study group were treated with total gastrectomy of jejunum P 袢 on behalf of the stomach. Comparative analysis of two groups of patients with clinical effects. Results There was no significant difference in operation time and intraoperative blood loss between the two groups (P> 0.05). The daily diet intake, daily diet intake and gastrointestinal emptying time in the study group were statistically different from those in the control group (P <0.05). The incidence of complications in study group was lower than that in control group (P <0.05). Conclusion The total gastrectomy jejunal P 袢 on behalf of the gastric cardia cancer has a good clinical effect, and the low incidence of complications, high safety, it is worth carrying out in-depth study and promotion.