不同袢氏吻合术对近端胃大部分切除患者的临床疗效及对预后的影响  

Clinical effect of different loop-type biliary-enteric anastomosis in patients with proximal subtotal gastrectomy and its influence on prognosis

作　　者：张廓[1] ZHANG Kuo(Chifeng Hospital of Inner Mongolia Autonomous Region,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院,024000

出　　处：《中国实用医药》2021年第11期56-58,共3页China Practical Medicine

摘　　要：目的分析不同袢氏吻合术对近端胃大部分切除患者的临床疗效及对预后的影响。方法进行近端胃大部分切除术的胃部疾病患者85例,通过随机数字抽签分为实验组(43例)和参照组(42例)。参照组患者实施食管空肠Roux-en-Y吻合术,实验组患者实施改良overlap吻合术。比较两组患者治疗效果以及不良反应。结果实验组治疗显效20例(46.51%),有效19例(44.19%),无效4例(9.30%),治疗总有效39例(90.70%);参照组治疗显效15例(35.71%),有效16例(38.10%),无效11例(26.19%),治疗总有效31例(73.81%)。实验组治疗总有效率高于参照组,差异具有统计学意义(χ^(2)=4.170, P<0.05)。实验组不良反应发生率27.91%小于参照组的50.00%,差异具有统计学意义(P<0.05)。结论应用改良overlap吻合术在近端胃大部分切除患者的治疗中,能够显著提升患者治疗效果,抑制近端胃大部分切除患者的食管反流情况,促进患者的胃容量恢复,进而提升患者的整体营养恢复以及体重恢复,值得临床推广。Objective To analyze the clinical efficacy of different loop-type biliary-enteric anastomosis in patients with proximal subtotal gastrectomy and its influence on prognosis.Methods A total of 85 patients with gastric diseases undergoing proximal subtotal gastrectomy were divided into experimental group(43 cases)and reference group(42 cases)according to random lottery method.The control group was treated with Roux-en-Y esophagojejunostomy for digestive tract reconstruction,while the experimental group was treated with modified overlap anastomosis for digestive tract reconstruction.The therapeutic effect and occurrence of adverse reactions were compared between the two groups.Results In the experimental group,20 cases(46.51%)were markedly effective,19 cases(44.19%)were effective,4 cases(9.30%)were ineffective,and 39 cases(90.70%)were total effective;in the control group,15 cases(35.71%)were markedly effective,16 cases(38.10%)were effective,11 cases(26.19%)were ineffective,and 31 cases(73.81%)were total effective.The total effective rate of the experimental group was higher than that of the reference group,and the difference was statistically significant(χ^(2)=4.170,P<0.05).The incidence of adverse reactions 27.91%of the experimental group was lower than 50.00%of the reference group,and the difference was statistically significant(P<0.05).Conclusion For patients undergoing proximal subtotal gastrectomy,modified overlap anastomosis can significantly improve the treatment effect,inhibit the esophageal reflux of patients,promote the recovery of gastric volume,and then improve the overall nutritional recovery and weight recovery of patients,which is worthy of clinical promotion.

关 键 词：改良overlap吻合术 食管空肠Roux-en-Y吻合术 近端胃大部分切除 疗效 

分 类 号：R656.61[医药卫生—外科学]