功能性空肠间置代胃术在进展期贲门癌根治术中的应用  

Clinical Application of the Procedure of Functional Jejunal Interposition in Patients with Radical Resection of Advanced Cardiac Carcinoma

作　　者：吕银祥[1] 周建炜[1] 洪堂灿[1] 章宏欣[1] 张洁慧[1] 

机构地区：[1]浙江省新昌县人民医院,312500

出　　处：《中国全科医学》2006年第12期1017-1018,共2页Chinese General Practice

摘　　要：目的探讨贲门癌的最佳术式。方法52例贲门癌患者均行全胃切除术,并将其随机分为Roux-en-Y空肠代胃术(RY)组和功能性空肠间置代胃术(FJI)组,分别于术后1个月、3个月、6个月、12个月进行随访,根据Spitzer生活质量量表和chew-wunwu特殊症状量表随访并测定相应指标。结果两组患者在进食困难、胃灼热感方面差别有显著性意义(P<0.05),而其余指标间差别无显著性意义(P>0.05)。结论功能性空肠间置代胃术是一种较为合理的消化道重建方式,能提高患者术后的生活质量。Objective The purpose of this study was to perform a propective randomized clinical trial comparing functional jejunal interposition （FJI） and Roux - en - Y reconstruction （RY） in the treatment of cardiac carcinoma. Methods According to spitzer index and Chew - wun wu 14 - item index, the items of life quality were measured in one week before the operation and 1 , 3, 6, 12 months after the operation. Results The food intake of FJI group was significant higher than that of RY Group （ P 〈 0. 05 ）. There were no significant differences in other index （ P 〉0. 05 ）. Conclusion FJI after total gastrectomy is a rational procedure for gastric carcinoma which can improve the life quality.

关 键 词：胃肿瘤 胃切除术 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]