胃癌全胃切除术后两种消化道重建术式疗效的比较  

Efficacy comparation of two digestive tract reconstruction methods after total gastrectomy of gastric cancer

作　　者：梁家强[1,2] 朱一宁[1,2] 黎木淦[1,2] 

机构地区：[1]广西医科大学第六附属医院 [2]广西壮族自治区玉林市第一人民医院胃肠腺体外科,广西玉林537000

出　　处：《中国医药导报》2011年第23期49-50,共2页China Medical Herald

摘　　要：目的：探讨胃癌全胃切除术后两种消化道重建术式的疗效。方法：选择我院2003年10月～2008年3月收治的胃癌全胃切除术患者110例，其中60例患者采用0rr式Roux—en—Y空肠食管吻合术进行消化道重建（Orr组），50例患者采用Moynihan吻合术进行消化道重建（Moynihan组），比较两组手术情况、术后并发症及远期生存情况。结果：两组患者手术死亡率、术后生存率比较，差异无统计学意义（P〉0．05），但是Orr组反流性食管炎发生率（3．0％）明显少于Moynihan组（66．0％），两组比较，差异有统计学意义（χ2=19．713，P〈0．05）；Orr吻合手术时间[（175±10）min]短于Moynihan吻合[（198±15）min]，两组比较，差异有统计学意义（t=8．236，P〈0．05）。结论：Ofr式Roux—en—Y空肠食管吻合术进行胃癌全切除后消化道重建，并发症少，操作方便，是一种较为合适的消化道重建方式。Objective： To investigate the efficacy of two digestive tract reconstruction methods after total gastrectoray of gastric cancer. Methods： 110 patients of gastric cancer in our hospital from October 2003 to March 2008 were devded into Orr group （60 cases were treated by On.-type Roux-en-Y jejunal anastomosis） and Moynihan group （50 cases were treated by Moynihan anastomosis）; surgery, postoperative complications, and long-term survival were compared. Results： the dif ference of operative mortality, survival rate in two groups had no significant （/50.05）, but reflux esophagitis of On. group （3.0%） was significantly less than Moynihan group （66%）,and there were significantly differences （χ2=19.713, P〈0.05）. On was easy to operate and operation time [（175±10）min] was significantly short than Moynihan group [（198±15）min], and the dif- ference was statistically significant （t=8.236, P〈0.05）. Conclusion： Orr-type Roux-en-Y jejunal esophageal anastomosis for reconstruction after gastric resection is easy to operate with few complications, and it is an appropriate method of digestive tract reconstruction.

关 键 词：胃癌 全胃切除 消化道重建 疗效分析 

分 类 号：R735.2[医药卫生—肿瘤]