研究胃癌远端胃切除术后消化道重建手术方式的选择及临床评价  

Study on the Selection and Clinical Evaluation of Surgical Methods for Gastrointestinal Reconstruction after Distal Gastrectomy for Gastric Cancer

作　　者：张念杰 张占华 王有广 梁敏 ZHANG Nian-jie;ZHANG Zhan-hua;WANG You-guang;LIANG Min(Department of General Surgery,Yanjiao People's Hospital of Sanhe City,Sanhe,Hebei Province,065201 China)

机构地区：[1]三河市燕郊人民医院普通外科,河北三河065201

出　　处：《系统医学》2020年第18期99-101,共3页Systems Medicine

摘　　要：目的分析胃癌远端胃切除术后消化道重建手术方式的选择,对效果进行评价。方法选择2018年2—9月该院收治的100例胃癌远端胃切除术患者为对象,随机实施分组,分别是对照组和干预组,均是50例患者,对照组采取的是P型空肠袢食管空肠Roux-en-Y吻合术,干预组则实施的是Orr式食管空肠Roux-en-Y吻合术,对具体的治疗方式进行分析,总结效果。结果术后恢复情况是重要的指标,干预组的优和良例数是42例和6例,优良率是96%(48/50),对照组的优和良的例数分别是36例和2例,优良率是76%(38/50),干预组优良率高于对照组(P<0.05)。干预组和对照组的有效率分别是94%和76%(χ^2=6.670,P<0.001)。干预组的心理健康评分、生理健康评分、社会功能评分、健康程度评分等高于对照组(t=7.690、6.580、7.980、6.580,P<0.001)。结论对于胃癌远端胃切除术后实施消化道重建的患者采取Orr式食管空肠Roux-en-Y吻合术优势明显。Objective To analyze the selection of surgical methods for gastrointestinal reconstruction after distal gastrectomy for gastric cancer and evaluate the effect. Methods A total of 100 patients undergoing distal gastrectomy for gastric cancer admitted to the hospital from February to September 2018 were selected as subjects, and were randomly divided into control group and intervention group, with 50 patients in each group. P-type jejunal loop esophageal jejunum Roux-en-Y anastomosis, the intervention group performed Orr esophagojejunal Roux-en-Y anastomosis, the specific treatment methods were analyzed, and the results were summarized. Results Postoperative recovery is an important indicator. The number of excellent and good patients in the intervention group was 42 cases and 6 cases, the excellent and good rate was 96%(48/50), and the number of excellent and good patients in the control group was 36 cases and 2 cases respectively. The excellent and good rate is 76%(38/50), The excellent and good rate of intervention group was higher than that of control group(P<0.05). The effective rates of the intervention group and the control group were 94% and 76% (χ^2=6.670,P <0.001). The mental health score, physical health score, social function score, and health score of the intervention group were higher than those of the control group(t=7.690、6.580、7.980、6.580,P<0.001). Conclusion For patients undergoing gastrointestinal reconstruction after distal gastrectomy for gastric cancer, the Orr-style Roux-en-Y esophagojejunostomy has obvious advantages.

关 键 词：胃癌远端切除术 消化道重建手术 效果分析 

分 类 号：R735.2[医药卫生—肿瘤]