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目的评价幽门括约肌捏断联合十二指肠韧带松解在预防贲门癌术后反流中的临床效果。方法将19例贲门癌近端胃切除患者术中行幽门成形联合十二指肠韧带松解作为A组,另选未行幽门括约肌捏断联合十二指肠韧带松解的18例贲门癌手术患者作为B组对照,通过术后进行反流症状监测,电子胃镜检查评价抗反流效果。结果通过比较37例贲门癌近端胃切除手术患者不同术式两组间反流症状评分及电子胃镜检查评分显示:A组反流性食管炎评分明显低于B组,差异有统计学意义(P<0.05)。结论综合抗反流术式方法简便,临床抗反流效果好。
Objective To evaluate the clinical effect of sphincter sphincter pinching combined with duodenal ligament release in the prevention of postoperative reflux of cardiac cancer. Methods A total of 19 patients with cardiac cancer with proximal gastrectomy underwent pyloric resection combined with duodenal ligament decompression as group A. Another 18 patients with cardiac cancer surgery who underwent pyloric sphincter pinch and duodenal ligament release were selected. As a control in group B, anti-reflux effects were evaluated by postoperative symptom monitoring and electronic gastroscopy. Results The comparison of reflux symptom scores and electronic gastroscopy scores between 37 patients undergoing proximal gastrectomy for gastric cardia cancer surgery showed that the score of reflux esophagitis in group A was significantly lower than that in group B, and the difference was statistically significant ( P<0.05). Conclusion The comprehensive anti-reflux therapy method is simple and the clinical anti-reflux effect is good.