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目的研究全胃切除空肠P袢代胃术治疗胃底贲门癌的临床疗效。方法比较案例分析法。回顾性分析我院近年收治的胃底贲门癌患者62例,根据手术方法分为研究组(全胃切除空肠P袢代胃术)和对照组(标准Roux-en-Y吻合术)各31例,比较组别间患者手术时间、术中出血量及术后3月的排空及饮食情况。结果组别间在手术时间、术中出血量上差异无统计学意义(P>0.05),术后并发症上,研究组显著低于对照组(P<0.01);术后3月,研究组的排空时间及饮食次数显著低于对照组,饮食量显著高于对照组(P<0.05)。结论空肠P袢代胃术通过科学、合理的重建消化道,恢复和强化患者正常的胃肠功能,促进患者术后饮食的恢复,从而减少常见术后并发症,效果值得肯定。
Objective To study the clinical effect of total gastrectomy jejunal P 袢 on gastric cardia cancer treatment. Methods Compare case studies. Retrospective analysis of 62 cases of gastric cardia cancer admitted to our hospital in recent years, according to the surgical methods were divided into study group (total gastrectomy jejunal P 袢 surgeries) and control group (standard Roux-en-Y anastomosis) of 31 cases The operation time, intraoperative blood loss and emptying and diet after 3 months were compared between groups. Results There was no significant difference in operation time and intraoperative blood loss between the two groups (P> 0.05). The postoperative complications were significantly lower in the study group than in the control group (P <0.01) The emptying time and the number of diets were significantly lower than the control group, the dietary intake was significantly higher than that of the control group (P <0.05). Conclusion jejunum P 袢 on behalf of Gastroenterology through scientific and rational reconstruction of the digestive tract, restore and strengthen the patient’s normal gastrointestinal function and promote postoperative recovery of patients with diet, thereby reducing the common postoperative complications, the effect worthy of recognition.