毕罗Ⅱ术式与Roux—en—y胃空肠吻合术式对比分析  

作　　者：龙建卫[1] 

机构地区：[1]湖南中医药大学附属第一医院西医普通外科,410007

出　　处：《中国临床实用医学》2009年第2期97-98,共2页China Clinical Practical Medicine

摘　　要：毕罗（Billorth）Ⅱ式胃切除术式在临床上已使用了近120年，经分析此术式的手术方式及临床效果，认为毕罗Ⅱ术式相对改变了人的正常解剖生理状态，并发症相对较多，有的较严重（如残胃癌），并且与此手术方式有一定关系。而Roux-en-y胃空肠吻合术相对接近人的解剖生理，并发症相对较少，临床效果好。因此得出结论：毕罗Ⅱ术式不适宜消化道重建。临床上可考虑以Roux-en-y胃空肠吻合术替代毕罗Ⅱ术式。Billorth Ⅱ Stomach Removal Surgery has been put into practice for approximately 120 years. By analyzing and investigating its procedures and effects, it is shown that Billorth Ⅱ Stomach Removal Surgery could change the human＇ s physiological state under normal dissection relatively. It may lead to considerable number of serious complications（ such as cancer of gastric remnant） ,which may be caused by the proce dures of the Billorth Ⅱ Stomach Removal Surgery. Meanwhile, Roux-en-y Stomach and Small intestine coincide is more similar to human＇ s physiological state of dissection. So there are relatively smaller possibility of causing complications,and its effects shown in practice is better. As a result, Ⅰ conclude that Billorth Ⅱ Stomach Removal Surgery is not suitable for the recovery of the alimentary canal of human, and it should be replaced by Roux-en-y Stomach and Small intestine coincide.

关 键 词：手术 毕罗Ⅱ术式 ROUX-EN-Y胃空肠吻合术 并发症 

分 类 号：R735.2[医药卫生—肿瘤]