保留远端残胃联合双通道吻合术治疗胃上部癌的临床效果  

Clinical Effect of Distal Remnant Stomach Combined with Double Channel Anastomosis in the Treatment of Upper Gastric Cancer

作　　者：蒙锦莹 牛云霞 陈治 许诚 MENG Jinying;NIU Yunxia;CHEN Zhi(The First People's Hospital of Xianyang,Xianyang,712000)

机构地区：[1]陕西省咸阳市第一人民医院,712000 [2]陕西中医药大学第二附属医院,712000

出　　处：《实用癌症杂志》2024年第1期118-121,共4页The Practical Journal of Cancer

基　　金：咸阳市二0二0年重点研发计划项目(编号:2020k02-105)。

摘　　要：目的探讨保留远端残胃联合双通道吻合术治疗胃上部癌的临床效果。方法选取80例胃上部癌患者为研究对象,按照入组单双顺序分为观察组与对照组。对照组采用胃全切术联合食管-空肠Roux-en-Y吻合术治疗;观察组采用保留远端残胃联合双通道吻合术治疗。比较2组手术相关指标、术后营养指标、并发症及生活质量。结果观察组术中出血量及肛门排气、住院时间均低于对照组,手术时间高于对照组(P<0.05)。术后观察组总蛋白、白蛋白、血红蛋白水平高于对照组(P<0.05)。观察组术后并发症发生率为20.00%(8/40),低于对照组的60.00%(24/40),P<0.05。术后观察组生活质量各维度评分均高于对照组(P<0.05)。结论保留远端残胃结合双通道吻合术用于胃上部癌治疗,可减少术后并发症,改善机体的营养状态,促进患者快速恢复,提高生活质量。Objective To explore the clinical of distal remnant stomach preservation combined with double channel anastomosis in the treatment of upper gastric cancer.Methods 80 patients with upper gastric cancer were selected as research objects and divided into the observation group and the control group according to the order of single and even inclusion.The control group received total gastrectomy combined with Roux-en-Y esophagojejunostomy;The observation group received preserved distal gastric stump combined with double channel anastomosis.The operation related indexes,postoperative nutritional indexes,complications and quality of life were compared between the 2 groups.Results The intraoperative blood loss,anal exhaust and hospital stay in the observation group were lower than those in the control group,and the operation time was higher than that in the control group(P<0.05).The levels of total protein,albumin and hemoglobin in the observation group were higher than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 20.00%(8/40),lower than that in the control group(60.00%(24/40),P<0.05).The scores of all dimensions of quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion Distal residual stomach retention combined with double channel anastomosis for the treatment of upper gastric cancer can reduce postoperative complications,improve the nutritional status of the body,promote the rapid recovery of patients and improve the quality of life.

关 键 词：保留远端残胃 双通道吻合术 胃上部癌 

分 类 号：R735.2[医药卫生—肿瘤]