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作 者:于海涛[1] 温敏杰[1] 罗育其[1] 区文弢[1] YU Haitao;WEN Minjie;LUO Yuqi;OU Wentao(The First People's Hospital of Nansha,Guangzhou 511475,China)
机构地区:[1]广州市第一人民医院南沙医院,广东广州511457
出 处:《中国医药科学》2018年第14期223-226,共4页China Medicine And Pharmacy
摘 要:目的比较功能性单通道袢式间置空肠吻合术与残胃食管吻合术在腹腔镜近端胃癌切除中的应用效果。方法按照吻合方式不同将48例择期行近端胃切除根治术的早期胃癌患者分为观察组(功能性单通道袢式间置空肠吻合)27例和对照组(残胃食管吻合)21例,比较两组手术情况、术后恢复情况、术后并发症情况、术后营养状况、生活质量情况以及远期生存情况。结果观察组手术时间和术中出血量均显著高于对照组(P<0.05);两组术后肠道恢复通气时间比较,差异无统计学意义(P>0.05);两组术后并发症总发生率比较,差异无统计学意义(P>0.05);观察组术后6、12个月体质量和ALB水平及QLQ-C30评分均显著高于对照组(P<0.05);两组术后随访期间生存率比较,差异无统计学意义(P>0.05)。结论功能性单通道袢式间置空肠吻合术操作更复杂,但能够改善患者术后营养状况和生活质量,可作为优选方案。Objective To explore the clinical effect of functional single-channel loop jejunostomy and gastroesophageal anastomosis in laparoscopic proximal gastrectomy. Methods In accordance with the different anastomosis methods, 48 early gastric cancer patients undergoing elective proximal gastrectomy were divided into observation group(17 cases) and control group(21 cases). The observation group was given functional single-channel loop jejunostomy, and the control group was given gastroesophageal anastomosis. The surgical conditions, postoperative recovery, postoperative complications, postoperative nutritional status, quality of life, and long-term survival of two groups were observed. Results The surgical time and intraoperative bleeding of the observation group were higher than those of control group(P 〈0.05). There was no significant difference on the postoperative intestinal recovery time of the two groups(P 〉0.05). There was no significant difference on the rate of complication of the two groups(P 〉0.05). The weight, ALB and the scores of QLQ-C30 of the observation group were higher than those of control group(P 〈0.05). There was no significant difference on the survival rate of the two groups(P 〉0.05). Conclusion Functional single-channel loop interposition jejunostomy is more complicated, but it can improve the nutritional status and quality of life of patients after surgery, so it can be used as a preferred scheme.
关 键 词:腹腔镜近端胃癌切除 功能性单通道袢式间置空肠吻合术 残胃食管吻合术
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