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目的 探讨胃恶性肿瘤行全胃切除后不同消化重建术式的临床效果。方法 67例胃恶性肿瘤行全胃切除术后采用3种不同的消化道重建方式 ,对其术后半年饮食状况、消化道症状和营养指标等进行观察。结果 三种术式患者 6个月后并发症 :SS型与P型空肠间置吻合术两组间比较总并发症发生率P值 <0 0 5 ( χ2 检验 ) ,而SS型和P型空肠间置吻合与Roux -en -Y或La hey +Broun吻合术 (R/或L)组三组间比较结果 ,R/或L总并发症发生率P <0 0 1( χ2 检验 )。三组术后 6个月的体重、血红蛋白、血清总蛋白和血清白蛋白指标 ,其数据经统计学处理 (t检验 ) ,三组间比较差异无显著性意义。结论 全胃切除术采用SS型和P型间置空肠代胃 ,恢复食物经过十二指肠通道 ,可降低全胃切除术后的并发症和提高生活质量
Objective To investigate the clinical effect of different digestive reconstruction procedures after total gastrectomy for gastric malignant tumors. Methods Sixty-seven cases of gastric malignancies were treated with three different methods of gastrointestinal reconstruction after total gastrectomy, and their postoperative six-month dietary conditions, gastrointestinal symptoms and nutritional indicators were observed. Results Complications of the three surgical patients after 6 months: The P <0.05 value of the total complication rate between SS type and P type jejunostomy was lower than that of type SS and P type jejunum Intermittent and Roux-en-Y or La hey + Broun anastomosis (R / L) group comparison between the three groups, R / L total complication rate P <0 01 (χ2 test). The body weight, hemoglobin, serum total protein and serum albumin index of the three groups at 6 months after operation were statistically analyzed (t-test). There was no significant difference among the three groups. Conclusion Total gastrectomy using SS-type and P-type intercostal space on behalf of the stomach, restore food through the duodenum, can reduce the complications after total gastrectomy and improve quality of life