重视胃保功能手术后的功能评价  

Attach importance to functional evaluation after gastric-preserving surgery

作　　者：周颖彬 王桂华 Zhou Yingbin;Wang Guihua(Department of Gastrointestinal Surgery,Tongji Hospital,Huazhong University of Science&Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院胃肠外科,武汉430030

出　　处：《中华胃肠外科杂志》2025年第2期150-156,共7页Chinese Journal of Gastrointestinal Surgery

基　　金：湖北省自然科学基金(2024AFB079, 2024AFB048, 2021CFA006)。

摘　　要：目前, 早期胃癌的治疗方式主要包括经内镜下切除及手术切除。传统的胃癌根治术后患者常出现生活质量受损、体质量减轻及胃切除术后综合征(PGS)等问题。胃保功能手术(FPG)能够在保证早期胃癌根治性切除的前提下, 选择合理的重建方式, 缩小手术范围, 尽可能保留胃的功能, 能够提高患者生活质量。但是, 目前尚缺乏统一的胃保功能手术的术后功能评价标准, 临床上对于功能评价方式的选择往往具有倾向性, 不能有效评估患者的整体功能。因此, 本文就胃术后生活质量、胃功能的恢复以及营养状况三个方面, 对胃保功能手术的功能评价进行阐述。Currently,The treatment methods for early gastric cancer mainly include endoscopic resection and surgical resection.Traditional radical gastrectomy for gastric cancer often results in complications such as impaired quality of life,weight loss,and post-gastrectomy syndrome.Function-preserving gastric surgery(FPG)aims to ensure radical resection of early gastric cancer while selecting appropriate reconstruction methods,minimizing the extent of surgery,and preserving gastric function as much as possible,which can improve patients'quality of life.However,there is currently a lack of standardized postoperative functional evaluation criteria for function preserving gastrectomy,and the selection of functional evaluation methods in clinical practice is often biased,which cannot effectively evaluate the overall function of patients.Therefore,this article discusses the functional evaluation of gastric preservation surgery from three aspects:postoperative quality of life,recovery of gastric function,and nutritional status.

关 键 词：胃肿瘤 早期 胃保功能手术 功能评价 

分 类 号：R73[医药卫生—肿瘤]