综合抗返流技术在近端胃大部切除术中的临床应用研究  

Clinical effect of combined anti-reflux techniques in proximal subtotal gastrectomy

作　　者：郑春宁[1] 孙少川[1] 孙中伟[1] 蒋秀玉[1] 庄严[1] 

机构地区：[1]山东省济南市中心医院普外科,山东济南250013

出　　处：《中国现代普通外科进展》2006年第3期179-180,共2页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:评价综合抗返流术式在近端胃大部切除术中的临床应用效果。方法:12例胃底部肿瘤手术采用综合抗返流技术(A组),未行综合抗返流术的11例为对照组(B组),通过手术前后食管胃腔内测压以及24hpH测定评价抗返流效果。结果:A组术后食管体部出现新的高压区;A组患者pH<4的总时间(%)、pH<4的返流次数、>5min的返流次数和最长反流时间(min)均较B组明显减少(P<0.01)。结论:综合抗返流术式方法简便,临床抗返流效果好。Objective： To evaluate the clinical effect of the combined anti-reflux technic used In the proximate subtotal gastrectomy. Methods： tumors in the fundus gastrlcus apply the combined anti-reflux technic（sroup A）, 11 cases are the control group that are not apply the combined anti-reflux technic （SrouP B）, we measure the pressure and 24h pH Volue of esopha-gosastrlc tract to evaluate the clinical effect of the combined anti-reflux technic. Results： Group A＇s escphaseal body found the new hiSh pressure postoperative, the all time of pH〈4（%）,the time of pH〈4 and 〉5min,the Ionsest time of reflux in group A are less than group B obviously（P〈0.01 ）Conclusion ：The combined anti-reflux teohnic are convenient and the clinical effect is better.

关 键 词：胃肿瘤 消化系统外科手术 

分 类 号：R735.2[医药卫生—肿瘤]