全胃切除空肠移置代胃人工幽门括约肌重建术治疗胃癌的远期疗效评价  

Long-term Observation on Effects of Total Gastrectomy with Grafting Jejunum for Gastric and Pyloric Reconstruction in Patients with Gastric Cancer

作　　者：胡世雄[1] 郭凌燕[1] 吴印爱[1] 段晨[1] 郑镇木[1] 

机构地区：[1]解放军第157医院普外科,广东广州510510

出　　处：《临床军医杂志》2007年第1期21-23,共3页Clinical Journal of Medical Officers

摘　　要：目的观察胃癌病人行全胃切除空肠移置代胃人工幽门括约肌重建术的远期疗效。方法连续5年以上对全组106例患者的营养状况、生存率、术后并发症发生率以及术后生活质量等情况进行定期随访。结果本组患者5年生存率42.5%,碱性反流性食管炎的发生率为0.9%,术后5年胆石症发生率为5.66%,生活质量优良率为89.6%。结论全胃切除、代胃及人工幽门括约肌重建术治疗进展期胃癌有较好的远期疗效。Objective To observe the long-term effects after total gastrectomy with grafting jejunal segment for gastric and pyloric reconstruction for the treatment of gastric cancer. Methods A total of 106 patients who had undergone total gastrectomy with grafting jejunal segment for gastric and pyloric reconstruction were followed up at regular intervals for five years, so that their nutritional status, survival rate, postoperative complications and qualitiy of life would be observed. Results The five-year survival rate was 42.5%, the incidence of postoperative reflux esophagitis was 0.9% , and the incidence of cholelithiasis was 5.66%. The quality of life in 89.6% of the patients was satisfactory. Conclusion The new way of gastric and pyloric reconstruction has better long-term effects for the treatment of advanced gastric carcinoma.

关 键 词：全胃切除 重建术 并发症 

分 类 号：R735.9[医药卫生—肿瘤]