全胃切除预防返流性食管炎方法的探讨  

Prevention of Reflux Esophagitis after Total Gastrectomy

作　　者：张天河 周福延 刘延立 孔庆华 何喜林[2] 赵宜良[2] 曹高武[2] 

机构地区：[1]岫岩县人民医院,辽宁省岫岩县118400 [2]辽宁省肿瘤医院

出　　处：《中国肿瘤临床》1992年第5期333-334,共2页Chinese Journal of Clinical Oncology

摘　　要：本文对28例胃癌行全胃切除,用改进的Plenk法行消化道重建,有效地防止了返流性食管炎。术后行胃镜检查,吻合口处无胆汁糜烂、出血、息肉,也未发生吻合口漏和吻合口梗阻。本文较详细地介绍了手术方法,并与其他手术术式进行了分析和比较,作者认为本法简单、可靠、易行。Twenty-eight patients with gastric cancer were treated by total gastrectomy and the modified Plenk' s operation was used in the reconstruction of alimentary tract aiming at prevention of reflux esophagitis. On postoperative gastroscopic examination, there were no evidences of biliary erosion, bleeding or polyps found at the site of anastomosis,and nor signs of anastomotic leakage or obstruction. The handling of modified Plenk' s operation was introduced in detail,and comparison was made with other methods. It is suggested that modified Plenk' s method is a very simple,reliable,and feasible operation,and can prevent reflux esophagitis effectively.

关 键 词：返流性食管炎 胃肿瘤 胃切除 

分 类 号：R735.206[医药卫生—肿瘤]