Braun吻合预防胃癌术后胃瘫作用探讨  

Braun-anastomosis preventing postoperative gastroparalysis after radical resection of gastric carcinoma

作　　者：王奎海[1] 蔡清萍[2] 赵晓光[1] 

机构地区：[1]浙江省舟山市解放军第413医院外科,316000 [2]第二军医大学附属长征医院普通外科

出　　处：《腹部外科》2005年第2期104-105,共2页Journal of Abdominal Surgery

摘　　要：目的探讨Braun吻合预防胃癌根治术后胃瘫的作用.方法回顾性分析我院1990年～2002年480例胃癌根治术的临床资料.结果未做Braun吻合的360例,发生胃瘫19例,发病率为5.28%;加做Braun吻合的120例,仅发生胃瘫1例,发病率为0.83%(P＜0.05).结论行胃癌根治术胃肠重建时,在残胃-空肠毕-Ⅱ氏吻合的基础上,加做Braun吻合能很好的预防术后胃瘫的发生.Objective To explore the prevention of postoperative gastroparalysis by Braun-anastomosis.Methods The clinical data of 480 patients with gastric carcinoma after radical resection were retrospectively analyzed,including 360 cases without Braun-anastomosis and 120 cases with Braun-anastomosis additionally.Results Only one patient had gastroparalysis in 120 cases with Braun-anastomosis( 0.83% ),but 19 patients had gastroparalysis in 360 cases without Braun-anastomosis( 5.28% )with the difference being significant between the two groups(P< 0.05 ).Conclusion Bastrojejunostomic anastomosis in combination with Braun-anastomosis to gastrointestinal reconstruction in radical gastrectomy for gastric carcinoma can prevent postoperative gastroparalysis efficiently.The procedure is simple with satisfied results.

关 键 词：Braun吻合 胃瘫 胃癌术后 预防 胃癌根治术 2002年 1990年 回顾性分析 根治术后 临床资料 胃肠重建 胃-空肠 发病率 

分 类 号：R735.2[医药卫生—肿瘤] R656.61[医药卫生—临床医学]