根治性全胃切除术与根治性近端胃切除术治疗贲门癌患者的效果对比  

Comparison on the Effects of Radical Total Gastrectomy and Radical Proximal Gastrectomy in the Treatment of Patients with Cardiac Cancer

作　　者：杜文斌[1] 张会来[1] DU Wenbin;ZHANG Huilai(^(st)Department of Surgery,Jiyuan Second People's Hospital,Jiyuan 459000,China)

机构地区：[1]济源市第二人民医院外一科,河南济源459000

出　　处：《临床医学工程》2024年第11期1353-1354,共2页Clinical Medicine & Engineering

摘　　要：目的对比根治性全胃切除术与根治性近端胃切除术治疗贲门癌患者的临床效果。方法将70例贲门癌患者根据手术方式不同分为全胃切除组(35例,行根治性全胃切除术)和近端胃切除组(35例,行根治性近端胃切除术)。比较两组的围术期指标及术后并发症发生情况。结果两组术中出血量、首次排气时间、住院时间比较差异无统计学意义(P>0.05);全胃切除组手术时间短于近端胃切除组,术后胃管引流量低于近端胃切除组(P<0.05)。两组的吻合口狭窄、切口感染、吻合口瘘发生率比较差异无统计学意义(P>0.05);全胃切除组反流性食管炎发生率低于近端胃切除组(P<0.05)。结论与根治性近端胃切除术相比,根治性全胃切除术治疗贲门癌患者的手术时间更短,术后胃管引流量更低,且可明显减少患者反流性食管炎的发生。Objective To compare the clinical effects of radical total gastrectomy and radical proximal gastrectomy in the treatment of patients with cardiac cancer.Methods 70 patients with cardiac cancer were divided into total gastrectomy group(35 cases,radical total gastrectomy)and proximal gastrectomy group(35 cases,radical proximal gastrectomy)according to different surgical methods.The perioperative indicators and postoperative complications were compared between the two groups.Results No statistical difference was found in the intraoperative blood loss,first exhaust time and hospitalization time between the two groups(P>0.05);The operation time of the total gastrectomy group was shorter than that of the proximal gastrectomy group,and the postoperative gastric tube drainage flow was lower than that of the proximal gastrectomy group(P<0.05).No statistical difference was found in the incidence of anastomotic stenosis,incision infection,and anastomotic fistula between the two groups(P>0.05);The incidence of reflux esophagitis in the total gastrectomy group was lower than that in the proximal gastrectomy group(P<0.05).Conclusions Compared with radical proximal gastrectomy,radical total gastrectomy in the treatment of patients with cardiac cancer has shorter operation time,and lower postoperative gastric tube drainage,which can significantly reduce the incidence of reflux esophagitis in patients.

关 键 词：贲门癌 根治性全胃切除术 根治性近端胃切除术 围术期指标 并发症 

分 类 号：R735.2[医药卫生—肿瘤]