根治性全胃切除空肠间置代胃术在胃癌患者中的应用效果观察  

Observation on the curative effect of radical total gastrectomy jejunal interposition on gastric carcinoma

作　　者：吴超[1] 汪全新[1] 张保[1] 

机构地区：[1]湖北省红安县人民医院普外科,湖北红安438400

出　　处：《中国医药科学》2014年第20期158-160,共3页China Medicine And Pharmacy

摘　　要：目的：探讨根治性全胃切除空肠间置代胃术对胃癌患者的疗效。方法选取2007年3月～2010年3月我院收治的胃癌患者80例，作为研究对象，患者均于手术术前、术后7d、术后6个月内进行相关指标检测，1年内进行持续随访。结果80例胃癌患者全部顺利完成了手术，无手术死亡病例。患者术后症状消失，进食顺利，体重增加，无严重并发症发生。在1年的随访期内也无患者死亡。结论在全胃切除后实施连续空肠间置术对消化道进行重建，既能最大限度清除癌变病灶又能保留胃肠道的生理功能，减少术后食管反流等并发症的发生并提高患者的术后营养状况。而且胃切除空肠间置代胃术操作简单，患者生存率较高，十分适宜临床的广泛应用和普及。Objective To explore the efficacy of radical total gastrectomy jejunal interposition in patients with gastric cancer. Methods 80 patients with gastric cancer in our hospital from March 2007 to March 2010 were selected as the research object.Relevant indexes in all patients were tested prior to operation and 7 days and 6 months after operation,and one-year continuous follow-up was conducted. Results Operation on all the 80 cases of gastric cancer patients were all successfully completed,without death.Postoperative symptoms disappeared,and all patients ate well,with gaining weight and no serious complications occurred.In the one-year follow-up no death occurred. Conclusion The implementation of continuous jejunum after total gastrectomy interposition reconstruction of digestive tract can maximally remove cancerous lesions and preserve the physiological function of the gastrointestinal tract.It can also reduce the occurrence of postoperative esophageal reflux complications and improve the patients＇ postoperative nutrition status.And gastrectomy jejunal interposition boasts the advantages of simple operation,higher survival rate of the patients,very suitable for clinical application and popularization.

关 键 词：根治性全胃切除空肠间置代胃术 胃癌 临床疗效 

分 类 号：R735.2[医药卫生—肿瘤]