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目的分析全胃切除空肠P袢代胃术治疗胃底贲门癌的临床疗效。方法胃底贲门癌患者60例,随机分为观察组和对照组,每组30例,观察组患者采取全胃切除空肠P袢代胃术的治疗方案,对照组患者采取标准Roux-en-Y吻合术治疗,观察两组患者的手术时间、术中出血量、术后排空时间、饮食量、饮食次数以及并发症情况。结果两组患者手术时间和术中出血量差异无统计学意义(P>0.05),观察组的治疗效果优于对照组,且并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论利用全胃切除空肠P袢代胃术治疗胃底贲门癌,临床疗效确切,能够减少并发症发生,值得应用推广。
Objective To analyze the clinical effect of total gastrectomy for jejunum P 袢 on behalf of gastric cancer. Methods 60 cases of gastric cardia cancer patients were randomly divided into observation group and control group, 30 cases in each group. The patients in observation group were treated with total gastrectomy for pneumothorax P 袢 on behalf of the stomach. The patients in the control group received standard Roux-en-Y Anastomosis was performed to observe the operation time, intraoperative blood loss, postoperative emptying time, diet, diet and complications in both groups. Results There was no significant difference in operative time and blood loss between the two groups (P> 0.05). The therapeutic effect of the observation group was better than that of the control group, and the complication rate was lower than that of the control group (P < 0.05). Conclusion The use of total gastrectomy jejunal P 袢 on gastric cardia cancer treatment, the exact clinical efficacy, can reduce the occurrence of complications, it is worth to promote the application.