胃癌根治术保留自主神经的临床治疗体会  

Clinical Experience of Radical Gastrectomy with Autonomic Nerves Preserved

作　　者：胡圣良[1] 刘明[1] 李来[1] 潘克忠 

机构地区：[1]六安市中医院普外科,安徽六安237006

出　　处：《医学综述》2012年第22期3869-3870,共2页Medical Recapitulate

摘　　要：目的探讨胃癌根治术保留自主神经对提高患者生存质量的临床意义。方法选择传统胃癌根治术(A组)和保留自主神经胃癌根治术(B组)各25例进行对照研究,对比两种术式对消化道并发症的影响。结果术后12个月回访,A组发生腹泻9例(36%),B组1例(4%);B超检查提示所有患者均尚未发现胆石症,两组胆囊病理改变发生率比较差异有统计学意义(P<0.05)。结论保留自主神经胃癌根治术有助于减少患者术后腹泻发生率,并可以改善胆囊情况,提高生存质量。Objective To explore the clinical significance of radical gastrectomy with autonomic nerves preserved for improving the quality of life of patients.Methods A retrospective analysis of traditional gastrectomy for gastric cancer（group A）and autonomic nerve preserving gastrectomy for gastric cancer（group B）,25 cases each,were selected and comparison study of the two groups was done,comparing the operative effects on gastrointestinal complications.Results After 12 months return visits were done,9 cases of diarrhea in group A（36%）,1 case in group B（4%）.B-ultrasound examination showed no cholelithiasis in all cases,difference of gallbladder pathological changes incidence between the two groups was statistically significant（P0.05）.Conclusion Autonomic nerve preserving gastrectomy for gastric cancer patients helps to reduce the incidence of postoperative diarrhea,and can improve the gallbladder condition and the quality of life.

关 键 词：胃肿瘤 外科手术 自主神经 腹泻 胆石症 

分 类 号：R735.2[医药卫生—肿瘤]