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目的探讨全胃切除空肠P袢代胃术治疗胃底贲门癌的临床疗效。方法对本院80例胃底贲门癌患者进行回顾性分析。结果 80例患者手术经过顺利,术中无患者死亡。观察组患者与对照组患者手术时间、术中出血量无明显差异(P>0.05);观察组患者的术后并发症明显少于对照组患者,观察组患者术后3个月的饮食量明显高于对照组,差异具有统计学意义(P<0.05);观察组患者的术后生存率明显高于对照组患者,差异具有统计学意义(P<0.05)。结论全胃切除空肠P袢代胃术治疗胃底贲门癌的临床疗效显著,可以提高远期的治疗效果,提高患者的术后生存率,改善患者的日后生活质量,值得在临床上广泛应用。
Objective To investigate the clinical effect of total gastrectomy of jejunum P 袢 on gastric cardia cancer. Methods A retrospective analysis of 80 patients with gastric cardia cancer in our hospital. Results 80 patients underwent a successful operation without any intraoperative death. There was no significant difference in operation time and intraoperative blood loss between the observation group and the control group (P> 0.05). The postoperative complications in the observation group were significantly less than those in the control group. The diet of the observation group at 3 months after operation was significantly (P <0.05). The postoperative survival rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion The total gastrectomy jejunal P 袢 on behalf of gastric cancer treatment of gastric cardia cancer clinical significant effect can improve long-term treatment, improve patient survival rate and improve the quality of life of patients in future, it is widely used in clinical.