远端胃癌消化道重建方式对患者生活质量的影响  

Effect of Digestive Tract Reconstruction on Quality of Life in Patients With Distal Gastric Cancer

作　　者：刘永健[1] 徐东楚 于海文[1] 

机构地区：[1]江苏省淮安市淮阴医院普外科一科,江苏淮安223300

出　　处：《中国继续医学教育》2017年第22期115-117,共3页China Continuing Medical Education

摘　　要：目的探讨远端胃癌消化道重建方式对患者生活质量的影响。方法选择2013年1月—2016年12月在我院行远端胃癌根治术的46例患者作为研究对象,患者按随机数字表分为两组,观察组23例采用Roux-en-Y术式,对照组23例采用BillrothⅡ手术方式,比较两组患者术后6个月内并发症发生率的差异。结果观察组术后并发症发生率为13.0%,对照组选用BillrothⅡ式患者术后并发症发生率为47.8%,两组间差异有统计学意义(P=0.023)。结论远端胃癌Roux-en-Y吻合较BillrothⅡ式消化道重建,能够降低术后返流等并发症发生,有助于提高患者生活质量。Objective To investigate the effect of digestive tract reconstruction on quality of life in patients with distal gastric cancer. Methods From January 2013 to December 2016, 46 patients underwent radical resection of distal gastric cancer in our hospital were selected as the subjects, they were divided into two groups according to the random number table, observation group （23 cases） was treated with Roux-en-Y, control group （23 cases） were operated by Billroth Ⅱ , the difference of complication rate between the two groups within 6 months after operation was compared. Results The postoperative complication rate of the observation group was 13.0%, control group was treated with Billroth type Ⅱ , the postoperative complication rate was 47.8%, the difference between the two groups was statistically significant （P=-0.023）. Conclusion Anastomosis of distal gastric cancer Roux-en-Y compared with Billroth type Ⅱ digestive tract reconstruction, can reduce the occurrence of postoperative regurgitation and other complications, help to improve the quality of life of patients.

关 键 词：胃癌 消化道重建 BillrothⅡ ROUX-EN-Y 

分 类 号：R735[医药卫生—肿瘤]