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目的比较胃癌全胃切除术后2种消化道重建术的临床疗效。方法选取2010年10月—2013年10月于本院就诊的55例拟行全胃切除术的胃癌患者,根据随机数字表随机化分为观察组和对照组,观察组(30例)全胃切除术后应用Orr式Roux-en-Y空肠食管吻合术式重建消化道,对照组(25例)应用“P”式Roux-enY吻合术式,术后随访3年,比较2组患者治疗效果。结果观察组患者手术中消化道重建所需时间较对照组短(P<0.05);经过手术后,观察组患者并发症少于对照组(P<0.05),经手术后2组生存率均得到显著提高,2组术后生存率间差异无统计学意义(P>0.05)。结论在胃癌患者全胃切除术中采用Orr式Roux-en-Y空肠食管吻合术,能缩短手术时间,降低术后并发症,具有较高的应用价值,值得在临床工作中加以推广。
Objective To compare the clinical effects of two kinds of digestive tract reconstruction after total gastrectomy for gastric cancer. Methods 55 patients scheduled for gastrectomy in our hospital from October 2010 to October 2013 were randomly divided into observation group and control group according to the random number table. The observation group (n = 30) After resection, the Roux-en-Y jejunal esophagogastric anastomosis was reconstructed in the digestive tract. The control group (25 cases) was treated with Roux-enY anastomosis by “P” method. The patients were followed up for 3 years. treatment effect. Results The duration of digestive tract reconstruction in the observation group was shorter than that in the control group (P <0.05). After the operation, the complications in the observation group were less than those in the control group (P <0.05) Significantly increased, there was no significant difference between the two groups (P> 0.05). Conclusion Orr Roux-en-Y jejunal esophagogastric anastomosis in total gastrectomy for gastric cancer patients can shorten the operation time and reduce the postoperative complications, which has high value of application. It is worth to be promoted in clinical practice.