三吻合器法改良毕Ⅱ式吻合术在远端胃癌根治术消化道重建中的应用价值及对术后并发症的影响  

Application value of modified BiⅡanastomosis with triple stapler method in digestive tract reconstruction in radical gastrectomy for distal gastric cancer and its influence on postoperative complications

作　　者：郭丹丹 沈燕[1] 蹇欣 GUO Dandan;SHEN Yan;JIAN Xin(Mianyang Central Hospital,Mianyang 621000)

机构地区：[1]绵阳市中心医院,四川绵阳621000

出　　处：《当代医药论丛》2022年第20期56-59,共4页

摘　　要：目的:研讨三吻合器法改良毕Ⅱ式吻合术在远端胃癌根治术消化道重建中的应用价值及对患者术后并发症的影响。方法:选取2019年3月至2021年5月在绵阳市中心医院行远端胃癌根治术的患者82例作为观察对象。按照消化道重建方式的不同将其分为对照组和观察组。对照组40例患者术中采用传统毕Ⅱ式吻合术进行消化道重建,观察组42例患者术中采用三吻合器法改良毕Ⅱ式吻合术进行消化道重建。比较两组患者的围手术期相关指标(残胃保留率、手术时间、消化道重建时间及重建出血量)、术后并发症的发生率及机体的营养状况。结果:两组患者的手术时间相比,差异无统计学意义(P>0.05)。观察组患者的残胃保留率(95.24%)高于对照组患者(75.00%),其消化道重建时间更短,重建出血量更少,差异有统计学意义(P<0.05)。观察组患者术后并发症的发生率低于对照组患者,差异有统计学意义(P<0.05)。术后3个月及6个月,观察组患者的体重减轻率低于对照组患者,其预后营养指数(PNI)高于对照组患者,差异有统计学意义(P<0.05)。结论:对行远端胃癌根治术的患者采用三吻合器法改良毕Ⅱ式吻合术进行消化道重建能明显缩短重建时间,减少重建出血量,改善患者术后的营养状况,并能降低其术后吻合口瘘等并发症的发生率,手术的安全性更有保障。Objective:To investigate the application value of modified Bi ii anastomosis with three-stapler method in digestive tract reconstruction in radical gastrectomy for distal gastric cancer and its influence on postoperative complications.Methods:A total of 82 patients who underwent radical gastrectomy for distal gastric cancer in Mianyang Central Hospital from March 2019 to May 2021 were selected as the observation objects.They were divided into control group and observation group according to the different methods of digestive tract reconstruction.Forty patients in the control group underwent traditional Bi ii anastomosis for digestive tract reconstruction,while 42 patients in the observation group underwent modified Bi ii anastomosis with triple stapler method for digestive tract reconstruction.The perioperative parameters(residual stomach retention rate,operation time,digestive tract reconstruction time and reconstruction blood loss),the incidence of postoperative complications and the nutritional status of the two groups were compared.Results:There was no significant difference in operation time between the two groups(P>0.05).The residual stomach retention rate of the observation group(95.24%)was higher than that of the control group(75.00%),and the digestive tract reconstruction time was shorter and the amount of reconstruction blood loss was less,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).At 3 and 6 months after operation,the weight loss rate of the observation group was lower than that of the control group,and the prognostic nutritional index(PNI)was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:For patients undergoing radical gastrectomy for distal gastric cancer,modified Bi ii anastomosis with three-stapler method can significantly shorten the reconstruction time,re

关 键 词：三吻合器法 改良毕II式吻合术 远端胃癌根治术 消化道重建 并发症 

分 类 号：R615[医药卫生—外科学]