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目的探讨Roux-en-Y与Billroth重建术式在胃切除术中的临床应用价值。方法选择某院2006年10月～2010年3月收治的拟行远端胃切除患者117例,分别采用Roux-en-Y术,Billroth-I术,Billroth-Ⅱ术进行远端胃切除术,比较3组手术效果及并发症情况。结果 Billroth-Ⅱ组的手术时间、拔管时间、口服饮食时间、住院天数均较Billroth-I组高(P﹤0.05);Roux-en-Y组的住院时间较Billroth-I组长(P﹤0.05);Billroth-Ⅱ组各种并发症的发生情况较Roux-en-Y组或Billroth-I组高(P均﹤0.05);3组之间各随访时间点生存率差异无统计学意义(P﹥0.05)。结论 Roux-en-Y术式优于Billroth-Ⅱ术式,但未发现Roux-en-Y术式优于Billroth-I术式。
Objective To investigate the clinical value of Roux-en-Y and Billroth reconstruction in gastrectomy. Methods One hundred and fourty-seven patients with distal gastrectomy who were treated in our hospital from October 2006 to March 2010 were selected. Roux-en-Y, Billroth-I and Billroth-Ⅱ were performed distal gastrectomy, Three groups of surgical effects and complications were compared. Results The operation time, extubation time, oral diet time and hospital stay in Billroth-Ⅱ group were significantly higher than those in Billroth-I group (P <0.05). The hospital stay in Billxoth-Ⅱ group was longer than that in Billroth-I group (P < 0.05). The incidence of various complications in Billroth-Ⅱ group was significantly higher than that in Roux-en-Y group or Billroth-I group (all P <0.05). There was no significant difference in survival rate between the three groups P> 0.05). Conclusions Roux-en-Y is better than Billroth-Ⅱ, but Roux-en-Y is not superior to Billroth-I.