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胃癌全胃切除术后不同形式消化道重建术式疗效评价
引用本文:刘林,杨新辉,赵泽亮,孟涛,王海江.胃癌全胃切除术后不同形式消化道重建术式疗效评价[J].新疆医科大学学报,2010,33(2):191-193.
作者姓名:刘林  杨新辉  赵泽亮  孟涛  王海江
作者单位:新疆医科大学附属肿瘤医院腹外科,新疆,乌鲁木齐,830011
摘    要:目的 评价胃癌全胃切除术后不同形式消化道重建术式的临床效果.方法 我院2001年1月~2006年1月对288例胃恶性肿瘤患者行全胃切除术后分别采用Orr式Roux-en-Y空肠食管吻合术、P形空肠袢空肠食管Roux-en-Y吻合和Moynihan式吻合术进行消化道重建.对3种手术方式的手术时间、术中出血量、手术并发症、手术死亡率、术后半年消化道症状及营养指标进行对比观察.结果 P形空肠袢空肠食管Roux-en-Y吻合术的手术时间与其他两组比较,差异有统计学意义(P<0.05).术后半年Orr式Roux-en-Y空肠食管吻合术上腹饱胀及倾倒综合征的发生率高于P形空肠袢空肠食管Roux-en-Y吻合术和Moynihan式吻合术(P<0.05);Moynihan式吻合术反流性食管炎的发生率明显高于其他两种术式(P<0.01);P形空肠袢空肠食管Roux-en-Y吻合术患者体重增加及营养指标优于Orr式Roux-en-Y空肠食管吻合术和Moynihan式吻合术患者.结论 P形空肠袢空肠食管Roux-en-Y吻合术是胃癌全胃切除后消化道重建较为合适的术式.

关 键 词:胃肿瘤  全胃切除  消化道重建

Total gastrectomy for gastric cancer of the digestive tract reconstruction of the different forms of the recent evaluation
LIU Lin,YANG Xin-hui,ZHAO Ze-liang,et al.Total gastrectomy for gastric cancer of the digestive tract reconstruction of the different forms of the recent evaluation[J].Journal of Xinjiang Medical University,2010,33(2):191-193.
Authors:LIU Lin  YANG Xin-hui  ZHAO Ze-liang  
Institution:LIU Lin,YANG Xin-hui,ZHAO Ze-liang,et al(Department of Abdomen Surgery,Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi 830011,China)
Abstract:Objective To appraise the clinical effects of different reconstructive modes of alimentary canal for total gastrectomy.Methods Two hundred and eighty-eight cases of stomach malignant tumor patients who have taken entire stomach excision in my courtyard from January 2001 to January 2006 were undertook Orr-type Roux-en-Y reconstruction,P-type Roux-en-Y reconstruction and the Moynihan-type anastomosis was carried on the digestive tract reconstruction.The surgery time,surgery leaves,volume of blood,surgery comp...
Keywords:gastric cancer  total gastrectomy  the digestive tract reconstruction  
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