胃癌全胃切除术P型空肠袢重建消化道的意义  

The clinical significance of P style of total gastrectomy and digestive canal reconstruction in patients with gastric carcinoma

作　　者：李成军[1] 

机构地区：[1]山东省医学科学院附属医院普外科,山东省济南250031

出　　处：《中国基层医药》2013年第22期3397-3399,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨胃癌全胃切除术P型空肠袢重建消化道对患者生存质量和血清c反应蛋白（CRP）的影响。方法90例胃癌全胃切除患者依据全胃切除术后消化道重建术式不同分为两组，对照组45例，采用Lahey＋Braun术重建消化道；观察组45例，采用P型空肠袢重建消化道。治疗后6个月评定患者生活质量和CRP。结果两组手术后患者的生存质量均比术前提高，观察组比对照组提高更明显（t=3．4201，P〈0．05）。两组手术后均可减少患者血清CRP的表达（t=3．8929、10．5417，均P〈0．01），观察组减少程度优于对照组（t=6．3442，P〈0．05）。结论胃癌全胃切除术P型空肠袢重建消化道可以提高患者生存质量，减轻CRP表达。Objective To study the effect of P style of total gastrectomy and digestive canal reconstruction on quality of life and C-reactive protein （CRP） in serum. Methods 90 patients with total gastrectomy were randomly divided into the control group （n = 45 cases） and the observation group （n = 45 cases）. The patients in the control group were operated through Lahey ＋ Braun, while the patients in the observation group were operated through P style of total gastrectomy and digestive canal reconstruction. The quality of life and serum CRP level were evaluated after treatment for 6 months. Results After operation, the quality of life was increased in two groups, and the quality of life in the observation group was higher than that in the control group （t = 3. 4201, P 〈 0. 05 ）. After operation, the CRP level was decreased in two groups, and CRP level in the observation group was higher than that in the control group （ t = 6. 3442, P 〈 0.05 ）. Conclusion P style of total gastrectorny and digestive canal reconstruction can improve quality of life and decrease CRP.

关 键 词：胃切除术 胃肿瘤 生活质量 C反应蛋白质 

分 类 号：R735.2[医药卫生—肿瘤]