比较腹腔镜辅助保留幽门胃切除术与远端胃大部切除术对早期胃癌患者术后继发性胆汁反流性胃炎的影响  

Comparison of the Effect of Laparoscopic-assisted Pylorus-preserving Gastrectomy and Distal Major Gastrectomy on Postoperative Secondary Bile Reflux Gastritis in Patients with Early Gastric Cancer

作　　者：罗强 LUO Qiang(General Surgery Department,Luoshan County People’s Hospital,Xinyang,Henan,464200,China)

机构地区：[1]罗山县人民医院普外科,河南信阳464200

出　　处：《黑龙江医学》2023年第9期1050-1052,1056,共4页Heilongjiang Medical Journal

摘　　要：目的:探析胃体中部早期胃癌患者采用腹腔镜辅助保留幽门胃切除术(laparoscopy assisted pylorus preserving gastrectomy,LAPPG)与腹腔镜辅助远端胃大部切除术(laparoscopy assisted distal gastrectomy,LADG)治疗的效果及对术后继发性胆汁反流性胃炎(bile reflux stomach,BRG)的影响。方法:选取2019年6月—2020年12月罗山县人民医院收治的60例胃体中部早期胃癌患者作为研究对象,分析患者临床病例资料后将患者分为观察组和对照组,每组各30例。对照组患者行LADG治疗,观察组患者行LAPPG治疗。比较两组患者手术相关指标、术后出现消化道相关症状的情况以及术后6个月被诊断为BRG的比例。结果:观察组患者手术相关指标和对照组患者对比,差异无统计学意义(t=0.790、0.215、0.028、0.120、0.271、0.065,P>0.05);观察组患者术后消化道症状的发生率和对照组患者对比,差异无统计学意义(χ^(2)=2.464、1.925、1.925、3.576、2.464、0.538,P>0.05);与对照组患者比较,观察组患者在随访6个月后被诊断BRG的概率更低,差异有统计学意义(χ^(2)=33.110,P<0.05)。结论:对胃体中部早期胃癌患者行LAPPG或LADG治疗均具有较好的效果,而LAPPG可降低患者术后出现BRG的概率。Objective:To investigate the effect of laparoscopy assisted pylorus preserving gastrectomy(LAPPG)versus laparos⁃copy assisted distal gastrectomy(LADG)for patients with early gastric cancer in the middle of the gastric body and the effect on postoperative secondary bile reflux gastritis(BRG).Methods:60 patients with early gastric cancer in the middle of the gastric body admitted to the hospital from June 2019 to December 2020 were selected as the study subjects,and the patients were divided into observation and control groups after analyzing their clinical case data,with 30 cases in each group.The control group was treated with LADG and the observation group was treated with LAPPG.The surgery-related indexes,postoperative GI-related symptoms and the percentage of patients diagnosed with BRG at 6 months postoperatively were compared between the two groups.Results:There was no statistically significant difference between the surgery-related indexes in the observation group and the control group(t=0.790,0.215,0.028,0.120,0.271,0.065,P>0.05).There was no statistically significant difference in gastrointestinal symptoms in the observation group compared with the control group(χ^(2)=2.464,1.925,1.925,3.576,2.464,0.538,P>0.05).The probability of being diagnosed with BRG after 6 months of follow-up was lower in the observation group compared with the control group,and the difference was statistically significant(χ^(2)=33.110,P<0.05).Conclusion:The treatment of LAPPG or LADG in patients with early gastric cancer in the middle of the stomach body has good results,and LAPPG can reduce the probability of BRG in patients after surgery,which has high clinical promotion value.

关 键 词：胃体中部早期胃癌 腹腔镜辅助保留幽门胃切除术 腹腔镜辅助远端胃大部切除术 继发性胆汁反流性胃炎 

分 类 号：R735.2[医药卫生—肿瘤]