中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
20期
3050-3051
,共2页
改良袢式空肠代胃术%P型空肠代胃术%全胃切除术
改良袢式空腸代胃術%P型空腸代胃術%全胃切除術
개량번식공장대위술%P형공장대위술%전위절제술
Improved generation of loop-type jejunum stomach surgery%P-type jejunum behalf of the stomach surgery%Gastrectomy
目的 比较改良袢式空肠代胃术与P型空肠代胃术的优缺点及临床应用价值.方法 56例胃癌患者依据胃切除术后消化道重建方式分为两组,观察组35例采取改良袢式空肠代胃术；对照组21例采取P型空肠代胃术,比较两组临床效果.结果 两组手术时间和术中出血量差异无统计学意义(P＞0.05).观察组排空时间[(61±23)min]较对照组[(37±19)min]长(t=3.03,P＜0.05),每次饮食量[(308±44) ml]较对照组[(262±34) ml]高(t=2.55,P＜0.05),每天饮食次数[(4.2±1.2)次]较对照组[(5.7±2.3)次]少(t=2.46,P＜0.05).观察组术后并发症发生率(14.3％)显著低于对照组(42.9％)(x2=5.71,P＜0.05).结论 全胃切除术后,采用改良袢式空肠代胃术重建消化道,相对于P型空肠代胃术,能有效提高患者术后生活质量,降低并发症发生率,但并未使手术过程复杂化.
目的 比較改良袢式空腸代胃術與P型空腸代胃術的優缺點及臨床應用價值.方法 56例胃癌患者依據胃切除術後消化道重建方式分為兩組,觀察組35例採取改良袢式空腸代胃術；對照組21例採取P型空腸代胃術,比較兩組臨床效果.結果 兩組手術時間和術中齣血量差異無統計學意義(P＞0.05).觀察組排空時間[(61±23)min]較對照組[(37±19)min]長(t=3.03,P＜0.05),每次飲食量[(308±44) ml]較對照組[(262±34) ml]高(t=2.55,P＜0.05),每天飲食次數[(4.2±1.2)次]較對照組[(5.7±2.3)次]少(t=2.46,P＜0.05).觀察組術後併髮癥髮生率(14.3％)顯著低于對照組(42.9％)(x2=5.71,P＜0.05).結論 全胃切除術後,採用改良袢式空腸代胃術重建消化道,相對于P型空腸代胃術,能有效提高患者術後生活質量,降低併髮癥髮生率,但併未使手術過程複雜化.
목적 비교개량번식공장대위술여P형공장대위술적우결점급림상응용개치.방법 56례위암환자의거위절제술후소화도중건방식분위량조,관찰조35례채취개량번식공장대위술；대조조21례채취P형공장대위술,비교량조림상효과.결과 량조수술시간화술중출혈량차이무통계학의의(P＞0.05).관찰조배공시간[(61±23)min]교대조조[(37±19)min]장(t=3.03,P＜0.05),매차음식량[(308±44) ml]교대조조[(262±34) ml]고(t=2.55,P＜0.05),매천음식차수[(4.2±1.2)차]교대조조[(5.7±2.3)차]소(t=2.46,P＜0.05).관찰조술후병발증발생솔(14.3％)현저저우대조조(42.9％)(x2=5.71,P＜0.05).결론 전위절제술후,채용개량번식공장대위술중건소화도,상대우P형공장대위술,능유효제고환자술후생활질량,강저병발증발생솔,단병미사수술과정복잡화.
Objective To compare the advantages,disadvantages and clinical value of the improved loop the jejunum behalf of the stomach surgery and the P - type jejunum on behalf of stomach surgery.Methods 56 patients with gastric cancer were divided into two groups by different ways of gastrectomy alimentary tract after gartrectomy.Patients in observation group( n =35 ) were given the modified loop jejunum on behalf of gastric surgery and patients in control group( n =31 ) received P-type jejunum on behalf of the stomach surgery.The clinical effects were compared between two groups.Results There were no significant differences in surgical time and bleeding volume in 2 groups ( P ＞ 0.05 ).Emptying time [(61 ± 3 ) min] of observation group was longer than that of control group (37 ± 19) min]( t =3.03,P ＜ 0.05 ) ; Each food intake [( 308 ± 44 ) ml] in observation group was significiantly improved compared with control group [(262 ± 34) ml (t =2.55,P ＜ 0.05) ; The times of daily diet [(4.2 ± 1.2) times] in observation group was lower than that of control group [( 5.7 ± 2.3 )] ( t =2.46,P ＜ 0.05 ).The incidence of postoperative complications( 14.3％ ) of the observation group was significantly lower than the control group (42.9％) ( x2 =5.71,P ＜ 0.05).Conclusion On the terms of 2 ways of digestive tract reconstruction,the improved loop the jejunum behalf of the stomach surgery is superior to the P-type jejunum on behalf of the stomach surgery,which can effectively improve the quality of life of patients and reduce the incidence of complications,but have no complex surgical procedures.
