两种淋巴结清扫方法对胃癌术后胃瘫的影响  

The Influence of two different kinds ways of sweeping the lymph nodes on the Postsurgical Gastroparesis Syndrome After Subtotal Gastrectomy

作　　者：郑连生[1] 李凯[1] 任伟[2] 马秀娟[2] 黄颖[1] 

机构地区：[1]包头市肿瘤医院,内蒙古包头014030 [2]包头医学院第二附属医院

出　　处：《疾病监测与控制》2014年第9期549-549,548,共2页Journal of Diseases Monitor and Control

摘　　要：目的探讨胃癌手术时两种淋巴结清扫方法对胃瘫的影响。方法将70例胃癌患者随机分为两组,A组:清扫第1、2组淋巴结时直接切断迷走神经前后干,伴随淋巴结一同切除。B组:清扫第1、2组淋巴结前,先解剖出迷走神经前后干,仅行淋巴结清扫,到距肿瘤上缘5cm处行高选择性迷走神经切断。结果 B组患者术后发生胃瘫的机率低于A组患者。结论胃癌患者行淋巴结廓清时,应尽量保留迷走神经主干,行高选择性迷走神经切断可减少术后胃瘫的发生率。Objective To explore the influence of two different kinds ways of sweeping the lymph nodes on the postsurgical gastroparesis syndrome after subtotal gastrectomy. Methods 70 gastric cancer patients were randomly divided into two groups, Group A： Cutting off the vagus nerve trunks when we are sweeping the lymph nodes number group 1、2. Group B： To anatomy the vagus nerve trunks before we sweep the lymph nodes number group 1、2、3、4, cutting off the hypsi-selectively vagus nerve when we reach to the 5cm from superior border of tumor. Results The probability of group B of postsurgical gastroparesis syndrome after subtotal gastrectomy is lower than group A. Conclusion We should reserve the vagus nerve trunks when we are sweeping the lymph nodes as far as possible, which cutt off the hypsi-selectively vagus nerve can reduce the incidence of postsurgical gastroparesis syndrome after subtotal gastrectomy.

关 键 词：胃癌 术后胃瘫 综合征 

分 类 号：R735.2[医药卫生—肿瘤]