近端胃切除和远端胃切除术后远期并发症的对比观察  

Proximal Gastric Resection and Long-term Complications after Distal Gastrectomy

作　　者：董昶三 

机构地区：[1]黑龙江省绥化市人民医院,152000

出　　处：《中国卫生标准管理》2015年第12期167-168,共2页China Health Standard Management

摘　　要：目的观察并对比近端胃切除和远端胃切除术后远期并发症的发生情况。方法随机选取2013年1月-2015年1月间于本院行近端胃切除术的30例患者作为观察A组,随机选取同时期于本院行远端胃切除术的30例患者作为观察B组。结果对比两组吻合口炎、吻合口溃疡等并发症的发生几率未见明显差异（P〉0.05）;观察A组消瘦、营养不良以及反流性食管炎等并发症的发生几率明显高于观察B组,观察B组胆汁反流性胃炎的发生几率明显高于观察A组,两组数据经统计学处理后显示差异显著（P〉0.05）。结论近端胃切除术以及远端胃切除术后的吻合口炎以及吻合口腔溃疡的发生几率均较高,反流性食管炎以及胆汁反流性胃炎分别是近端胃切除和远端胃切除术后的常见远期并发症类型。Objective To observe and compare the proximal gastric resection and long-term complications after distal gastrectomy. Methods 30 patients were randomly selected in 2013 January -2015 year in January in our hospital for proximal gastrectomypatients as the observation group A, 31） cases were randomly selected at the same timein our hospital for a distal gastrectomy patients as the observation group B. Results There were no obvious differences in incidence compared two groups of anastomotic inflammation, anastomotic ulcer complications （P 〉 0.05） ; observation group A weight loss, malnutrition and the incidence of reflux esophagitis and other complications was significantly higher than that in observation group B, the incidence was observed in the B group of bile reflux gastritis was significantly higher than that observed in A group, two groups of data by statistical treatment after the show significant difference （P 〉 0.05 ） .Conclusion Proximal gastrectomy and anastomotic inflammation after distal gastrectomyand anastomosis of oral cavity ulcer incidence were higher, reflux esophagitis and bile reflux gastritis are a common type of long-term complications of proximal gastrectomyand distal gastrectomy.

关 键 词：近端胃切除术 远端胃切除术 并发症 

分 类 号：R656.6[医药卫生—外科学]