| 胃癌全胃切除术后两种消化道重建术式疗效的比较 |
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| 引用本文： | 梁家强,朱一宁,黎木淦. 胃癌全胃切除术后两种消化道重建术式疗效的比较[J]. 中国医药导报, 2011, 8(23): 49-50 |
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| 作者姓名： | 梁家强 朱一宁 黎木淦 |
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| 作者单位： | 广西医科大学第六附属医院暨广西壮族自治区玉林市第一人民医院胃肠腺体外科,广西玉林,537000 |
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| 摘 要： | 目的：探讨胃癌全胃切除术后两种消化道重建术式的疗效。方法：选择我院2003年10月～2008年3月收治的胃癌全胃切除术患者110例，其中60例患者采用0rr式Roux—en—Y空肠食管吻合术进行消化道重建（Orr组），50例患者采用Moynihan吻合术进行消化道重建（Moynihan组），比较两组手术情况、术后并发症及远期生存情况。结果：两组患者手术死亡率、术后生存率比较，差异无统计学意义（P〉0．05），但是Orr组反流性食管炎发生率（3．0％）明显少于Moynihan组（66．0％），两组比较，差异有统计学意义（χ2=19．713，P〈0．05）；Orr吻合手术时间[（175±10）min]短于Moynihan吻合[（198±15）min]，两组比较，差异有统计学意义（t=8．236，P〈0．05）。结论：Ofr式Roux—en—Y空肠食管吻合术进行胃癌全切除后消化道重建，并发症少，操作方便，是一种较为合适的消化道重建方式。
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| 关 键 词： | 胃癌 全胃切除 消化道重建 疗效分析 |
Efficacy comparation of two digestive tract reconstruction methods after total gastrectomy of gastric cancer |
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| LIANG Jiaqiang,ZHU Yining,LI Mugan. Efficacy comparation of two digestive tract reconstruction methods after total gastrectomy of gastric cancer[J]. China Medical Herald, 2011, 8(23): 49-50 |
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| Authors: | LIANG Jiaqiang ZHU Yining LI Mugan |
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| Affiliation: | LIANG Jiaqiang,ZHU Yining,LI Mugan Department of Gastrointestinal Gland Surgery,the First People's Hospital of Yulin City & the Sixth Hospital Affiliated to Guangxi Medical University,Guangxi Zhuang Autonomous Region,Yulin 537000,China |
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| Abstract: | Objective: To investigate the efficacy of two digestive tract reconstruction methods after total gastrectomy of gastric cancer.Methods: 110 patients of gastric cancer in our hospital from October 2003 to March 2008 were devded into Orr group(60 cases were treated by Orr-type Roux-en-Y jejunal anastomosis) and Moynihan group(50 cases were treated by Moynihan anastomosis);surgery,postoperative complications,and long-term survival were compared.Results: the dif ference of operative mortality,survival rate in t... |
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| Keywords: | Gastric cancer Total gastrectomy Digestive tract reconstruction Efficacy analysis |
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