论文部分内容阅读
目的：比较不同包埋方式对胃癌根治术十二指肠残端的处置效果。方法以我院2012年1月—2015年1月行胃癌根治术的200例胃癌患者为研究对象，根据十二指肠残端不同包埋方式将其分为荷包包埋组与全层＋浆肌层包埋组，比较两组手术时间、十二指肠残端处置时间、术中出血量及并发症情况。结果荷包包埋组手术时间、十二指肠残端处置时间分别为（122．1±24．5） min 、（6．9±1．1） min ，均显著短于全层＋浆肌层包埋组的（154．5±21．6） min 、（11．5±1．2） min ，差异有统计学意义（P＜0．01）。荷包包埋组十二指肠残端瘘、腹腔感染发生率均为0，均明显低于全层＋浆肌层包埋组的5．8％、5．0％，差异有统计学意义（P＜0．05）。结论相比全层＋浆肌层包埋，荷包包埋处置十二指肠残端时间明显短，并发症发生率低，值得优先应用。“,”Objective To compare the results of different embedding modes of duodenal stump following radical operation for gastric cancer .Methods A total of 200 gastric carcinoma patients undergoing radical operation from Jan .2012 to Jan .2015 in our hospital were assigned to pocket embedding (PE) and full‐thickness + seromuscular layer embedding (FTSLE) group according to differ‐ent embedding modes of duodenal stump .Operation time ,duodenal stump disposal time ,intraoperative blood loss and complications were compared .Results Operation and duodenal stump disposal time were respectively 122 .1 ± 24 .5 minutes and 6 .9 ± 1 .1 in PE and 154 .5 ± 21 .6 and 11 .5 ± 1 .2 in FTSLE group , the former was significant lower than the latter ,differences had statistical significance (P< 0 .01) .Duode‐nal stump fistula and abdominal cavity infection incidence was both 0 .0% in PE and 5 .8% and 5 .0% in FTSLE group ,the former was significant lower than the latter ,differences had notable statistical signifi‐cance (P< 0 .01) .Conclusion Duodenal stump disposal time of pocket embedding is shorter and incidence of complication lower compared with FTSLE and deserves preferential application .