论文部分内容阅读
目的:对比不同消化道重建术式在胃癌全胃切除术中的治疗疗效。方法:采用随机数字表法将105例胃癌全胃切除术患者分为2组,“P”式组52例行“P”式空肠袢空肠食管Roux-en-Y吻合术治疗,Orr式组53例行Orr式Roux-en-Y空肠食管吻合术治疗,观察2组患者手术效果、术后并发症发生情况和生存率。结果:Orr式组手术时间和手术并发症与“P”式组比较,P<0.05;Orr式组死亡率与“P”式组比较,P>0.05;Orr式组术后并发症发生率16.98%明显低于“P”式组73.08%,P<0.01;术后1年末和2年末,Orr式组生存率明显高于“P”式组,P<0.05。结论:Orr式Roux-en-Y空肠食管吻合术是一种理想的胃癌全胃切除术后消化道重建术式,疗效确切,并发症发生率低,生存率高,值得临床推广使用。
Objective: To compare the therapeutic effect of different gastrointestinal reconstruction procedures in total gastrectomy for gastric cancer. Methods: One hundred and five patients with total gastrectomy for gastric cancer were divided into two groups by random number table method. Fifty-two patients underwent “P” type jejunum esophageal Roux-en-Y anastomosis. Orr group 53 patients underwent Roux-en-Y Roux-en-Y jejunal esophageal anastomosis. The operative effect, postoperative complications and survival rate were observed in two groups. Results: The operative time and surgical complications in Orr group were significantly lower than those in “P” group (P <0.05). The mortality rate in Orr group was significantly higher than that in “P” group (P> 0.05) The incidence of disease was 16.98% lower than that of the “P” group (73.08%, P <0.01). The survival rate of Orr group was significantly higher than that of the “P” group at the end of 1 year and 2 years after operation (P <0.05). Conclusion: Orr Roux-en-Y jejunal esophagogastric anastomosis is an ideal method of gastrointestinal reconstruction after total gastrectomy for gastric cancer. The curative effect is exact, the complication rate is low, and the survival rate is high. It is worth to be used clinically.