全胃切除术后三种消化道重建术式治疗胃癌的对比研究  

The Comparative Study of Three Types of Reconstruction Methods After Total Gastrectomy for Gastric Cancer

作　　者：夏浩[1] 阎凯[1] 朱远方[1] 

机构地区：[1]江苏省苏北人民医院

出　　处：《世界最新医学信息文摘》2017年第36期8-10,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨全胃切除术治疗胃癌的消化道重建术式的相关研究及术后生命质量和预后的比较。方法回顾分析2010年1月-2013年1月本院收治的326例胃癌患者的临床资料,行全胃切除术后分别予P形空肠袢空肠食管Roux-en-Y吻合术(P组)、Orr式空肠食管Roux-en-Y吻合术(Orr组)及Moynihan式吻合术(M组)进行消化道重建,比较三种术式术后生命质量及生存率。结果术后6个月血总蛋白、白蛋白变化情况及预后营养指数(PNI)P组均优于其他两组,差异有统计学意义(P<0.05)。术后6个月腹胀及倾倒综合征发生例数Orr组显著高于其余两组(P<0.05),M组反流性食管炎发生例数显著高于其余两组(P<0.05)。结论 P形空肠袢空肠食管Roux-en-Y吻合术是全胃切除术后消化道重建治疗胃癌较理想的术式。Objective To compare the life quality and prognosis of different reconstruction methods after total gastrectomy for gastric cancer. Methods A retrospective study of 326 consecutive gastric cancer patients underwent total gastrectomy from January 2010 to January 2013 was done.The reconstruction methods for digestive tract included P-type jejuno-jejuno-esophagus Roux-en-Y anastomosis（group P）,Orr anastomosis（group Orr）and Moynihan anastomosis（group M）.We compared the post-operation life quality and the survival rate of these 3 groups. Results The hemoglobin level,albumin level and prognosis nutrition index（PNI）in P group are significantly higher than the other 2 groups 6 months after surgery.Orr group patients were more likely to have distention and wasting syndrome,while Moynihan group patients were more likely to have reflux esophagitis. Conclusion P-type jejuno-jejuno-esophagus Rouxen-Y anastomosis is an ideal reconstruction method after total gastrectomy for gastric cancer.

关 键 词：胃癌 全胃切除术 消化道重建 生命质量 预后 

分 类 号：R735.2[医药卫生—肿瘤]