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为了探讨胃恶性肿瘤全胃切除后较理想的消化道重建方式,对18例胃恶性肿瘤全胃切除的患者应用自行设计的新型功能性间置空肠代胃术,代胃容积300～400mL,代胃半排空时间50～90min,平均排空时间2.2h。结果:18例患者均恢复良好,无吻合口狭窄及吻合口瘘发生,无返流性食管炎及倾倒综合征,进食量、体质量和体力恢复迅速,术后随访>1年者17例,其中13例体质量较术前增加4～8kg,血红蛋白、血浆蛋白及总蛋白均恢复正常。全胃切除后行新型功能性间置空肠代胃术符合生理通道,简便安全,有利于食物的消化吸收,明显改善患者的生活质量,是一种理想的消化道重建术式。
In order to investigate the ideal method of gastrointestinal reconstruction after total gastrectomy of gastric malignancies, 18 patients with total gastrectomy for gastric malignancies were treated with a new functional intercostal gastrointestinal surgery designed on their own. Gastric half emptying time 50 ~ 90min, the average emptying time 2.2h. Results: All the 18 patients recovered well without anastomotic stenosis and anastomotic fistula without reflux esophagitis and dumping syndrome. The food intake, body mass and physical recovery were rapid. There were 17 cases who were followed up> 1 year after operation, In 13 cases, the body weight increased 4 ~ 8kg compared with that before operation, and hemoglobin, plasma protein and total protein returned to normal. After the total gastrectomy, the new functional interdental jejunum replaces the physiological pathway, which is simple and safe, is conducive to the digestion and absorption of food, and obviously improves the quality of life of patients. It is an ideal type of digestive tract reconstruction.