保留幽门空肠间置代胃术治疗胃上部癌临床研究  

The clinical study of the pylorus-preserving jejunum interposition for the reconstruction of digestive tract on the treatment of upper gastric carcinoma

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作  者:侯新[1] 李永刚[2] 韩文才[3] 

机构地区:[1]新疆阿克苏地区第一人民医院普外二科,新疆阿克苏843000 [2]新疆生产建设兵团第一师医院普外科,新疆阿克苏843000 [3]新疆阿克苏地区第一人民医院普外一科,新疆阿克苏843000

出  处:《农垦医学》2016年第3期233-235,共3页Journal of Nongken Medicine

摘  要:目的:探讨胃上部癌根治术后消化道重建的理想手术方法。方法:选取2011年3月-2015年3月于我院进行治疗的34例胃上部癌患者,采用保留幽门的空肠间置代胃术进行治疗,对临床疗效进行评估。结果:全组34例病人手术一周后开始半流质进食,手术完成后获得较好恢复,未发生反流性食管炎、梗阻等并发症,所有患者术后3年血红蛋白、白蛋白和总蛋白含量均恢复至正常水平。结论:胃上部癌可选择保留幽门空肠间置代胃术进行治疗,可重新建立消化道,病人可以获得较好恢复。Objective: To discuss the ideal operation method of reconstructive alimentary canal after radical resection of upper gastric carcinoma.Methods:34 patients with upper gastric carcinoma treated in our hospital from March, 2011 to March, 2013 were selected, adopted the method of pylorus-preserving jejunum interposition for the reconstruction of digestive tract, to evaluate the clinical effect. Results: 34 patients eated semi-liquid food after operation for one week, got a good recovery after operation, there weren't such complications as reflux esophagitis.obstruction, all patients' hemoglobin, albumin and total protein content returned to normal level after operation for 3 years. Conclusion: The upper gastric carcinoma can he treated with pylorus-preserving jejunum interposition , it can reconstruct digestive tract, the patients can get better recovery.

关 键 词:保留幽门空肠间置代胃术 胃上部癌 消化道重建 

分 类 号:R656.61[医药卫生—外科学]

 

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