胃癌切除后不同重建方式的比较分析

目的探讨胃癌切除后不同重建方式的情况。方法分析我院收治胃癌全胃切除术40例临床资料，分为重建I组（胃空肠Roux—en—Y吻合术组）20例和重建Ⅱ组（非离断式Roux—en—y吻合术组）20例。结果重建Ⅱ组胃癌全胃切除术患者消化道重建手术情况、血清蛋白情况均明显优于重建Ⅰ组，同时重建Ⅱ组并发症发生率均低于重建Ⅰ组，差异均有统计学意义（P〈0．05）。结论非离断式Roux—en—y吻合术创伤小、消化功能恢复快。值得临床推广应用。

The comparative analysis of after gastric cancer resection by different reconstruction methods

Objective To approach after gastric cancer resection by different reconstruction methods. Methods Analyzed 40 cases clinical data by different reconstruction methods in our hospital,which was to be divided into reconstruction of Ⅰ group（Roux-en-y gastric jejunum anastomosis group）20 cases and reconstruction of Ⅱ group（Non isolated type Roux-en-y anastomosis group）20 cases. Results The digestive tract reconstruction time, amount of bleeding, surgical reconstruction of total serum protein, serum albumin of reconstruction of Ⅱ group were better than reconstruction of I group,then abdominal pain, diarrhea, reflux esophagitis, ＂dumping＂ syndrome incidence of reconstruction of Ⅱ group were better than reconstruction of Ⅰ group, the difference were statistical significance （P 〈 0.05）. Conclusion The Non isolated type Roux-en-y anastomosis of small trauma,can promote the recovery of postoperative patients with digestive function, improve patients＇ quality of life,which is to be used.