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目的 探讨保留幽门、近端胃切除、间置回盲肠代胃术在治疗近端胃癌、贲门癌中的疗效。方法 1 998年 1月～ 2 0 0 2年 3月共收治近端胃癌及贲门癌 1 8例 ,随机分成两组 ,9例施行保留幽门、近端胃切除、间置回盲肠代胃术患者为观察组 ,9例施行全胃切除、近端空肠襻代胃术为对照组 ,两组术后均于 1 5天行钡餐检查及 99m Tc- DTPA同位素测定返流比值及排空情况以了解代胃功能。结果 回盲肠代胃具有贮存、排空及抗返流功能。结论 保留幽门、近端胃切除、回盲肠代胃术能有效预防术后返流等并发症 ,提高患者的生存质量。
Objective To investigate the effect of reserving pyloric, proximal gastrectomy and indirect ileocecal anastomosis in the treatment of proximal gastric cancer and cardiac cancer. Methods From January 1998 to March 2002, 18 patients with proximal gastric cancer and cardia cancer were enrolled and randomly divided into two groups. Nine patients underwent pyloric gastrectomy, proximal gastrectomy, and ileocecal mesenteric surgery In the observation group, 9 cases underwent total gastrectomy and proximal jejunum 襻 on behalf of the stomach as the control group, both groups were in 15 days after barium meal examination and 99m Tc-DTPA isotope determination of reflux ratio and emptying to understand On behalf of the stomach function. The results back to the cecum on behalf of the stomach with storage, emptying and anti-reflux function. Conclusion Keeping pylorus, proximal gastrectomy and ileocecal substitution of gastrostomy can effectively prevent postoperative reflux and other complications, and improve the quality of life of patients.