胃癌根治术中保留迷走神经肝胆支的临床意义  

Practical effects of resection of gastric carcinoma with preserving hepatocystic vagus

作　　者：赵国华[1] 刘玉忠[1] 张向文[1] 范秀兰[1] 

机构地区：[1]大连市中心医院普外科,116033

出　　处：《医师进修杂志（外科版）》2005年第2期24-25,共2页

摘　　要：目的　探讨胃癌根治术附加保留迷走神经肝胆支对于预防术后胆囊病变的临床意义。方法　回顾性分析传统胃癌根治术和保留迷走神经肝胆支胃癌根治术各 80例 ,对比两种术式对胆囊功能、胆囊结石形成的影响。结果　保留迷走神经肝胆支组较传统胃癌根治术组空腹胆囊功能明显改善 (P <0 .0 1) ,术后 9个月检查发现胆囊结石形成数明显减少。结论　胃癌根治术附加保留迷走神经肝胆支有助于减少术后胆囊炎、胆囊结石的发生。Objective To study the practical effects of the resection of gast ric carcinoma with preserving hepatocystic vagus. Methods The clinical data of 160 patients were analyzed retrospectively. All cases were div ided into two groups of gastrectomy and gastrectomy with preserving hepatocystic vagus. Results Function of the gallbladder was improved ob v iously in the group of preserving hepatocystic vagus (P<0.01). Cho l elithiasis decreased obviously after operation. Conclusion Pr eserving hepatocystic vagus in resection of gastric carcinoma can decrease the o ccurrences of cholelithiasis and cholecystitis.

关 键 词：迷走神经 胃癌根治术 肝胆 保留 胆囊结石 临床意义 术后 结论 成数 传统 

分 类 号：R735[医药卫生—肿瘤] R657[医药卫生—临床医学]