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目的探讨非离断式Roux-en-Y空肠储袋消化道重建法在全胃切除术中的临床研究及应用意义。方法将60例胃癌全胃切除手术患者按入院顺序简单随机化法分为对照组30例(常规Roux-en-Y消化道重建)、观察组30例(非离断Roux-en-Y储袋法消化道重建),对照两组消化道重建时间、术后半年反流性食管炎、倾倒综合征发生率、体重增加、血红蛋白、血清总蛋白、血清蛋白水平。结果两组消化道重建时间、术后半年体重增加、血红蛋白、血清总蛋白、血清蛋白水平比较分别(t=4.55、4.66、5.67、5.64、6.12,P<0.05);术后半年反流性食管炎、倾倒综合征发生率比较(χ2=4.33、4.56,P<0.05)。结论全胃切除术应用非离断式Roux-en-Y空肠储袋消化道重建法操作简便可行,能降低术后并发症和提高生活质量,是全胃切除术较理想的消化道重建术式。
Objective To study the clinical study and clinical significance of non-septic Roux-en-Y jejunal pocket digestive tract reconstruction in total gastrectomy. Methods Sixty patients with total gastrectomy for gastric cancer were randomly divided into control group (routine Roux-en-Y gastrointestinal reconstruction) and control group (n = 30) France digestive tract reconstruction), control two groups of gastrointestinal reconstruction time, six months after reflux esophagitis, the incidence of dumping syndrome, weight gain, hemoglobin, serum total protein, serum protein levels. Results The digestive tract reconstruction time, weight gain after six months, hemoglobin, total serum protein and serum protein were significantly different between the two groups (t = 4.55,4.66,5.67,5.64,6.12, P <0.05) Inflammation, dumping syndrome incidence (χ2 = 4.33,4.56, P <0.05). Conclusion The total gastrectomy Roux-en-Y jejunal storage bags digestive tract reconstruction method is simple and feasible, can reduce postoperative complications and improve quality of life, gastrectomy is the ideal type of digestive tract reconstruction .