CAJ | 학술논문

目的：探讨全胃切除患者ρ型空肠原位间置代胃术消化道重建的临床疗效。方法64例胃底贲门癌患者按随机数字表法分为ρ型组32例，行ρ型空肠原位间置代胃术；对照组32例，行标准Roux-en-Y吻合术。结果ρ型组的手术时间、术中出血量与对照组比较，差异均无统计学意义（P＞0．05）；而ρ型组术后3个月胃排空时间明显长于对照组，单次饮食量均明显高于对照组（ P＜0．05）；术后3个月ρ型组每天饮食次数、术后并发症发生率均明显低于对照组（ P＜0．05）。结论ρ型空肠原位间置代胃术具有安全可靠，术后并发症发生率较低的优势，可有效提升全胃切除患者的生活质量。
목적：탐토전위절제환자ρ형공장원위간치대위술소화도중건적림상료효。방법64례위저분문암환자안수궤수자표법분위ρ형조32례，행ρ형공장원위간치대위술；대조조32례，행표준Roux-en-Y문합술。결과ρ형조적수술시간、술중출혈량여대조조비교，차이균무통계학의의（P＞0．05）；이ρ형조술후3개월위배공시간명현장우대조조，단차음식량균명현고우대조조（ P＜0．05）；술후3개월ρ형조매천음식차수、술후병발증발생솔균명현저우대조조（ P＜0．05）。결론ρ형공장원위간치대위술구유안전가고，술후병발증발생솔교저적우세，가유효제승전위절제환자적생활질량。
Objective To explore the clinical efficacy of gastrointestinal tract reconstruction with ρ-type jejunal interposition in situ generation for total gastrectomy patients.Methods Sixty-four patients with gastriocardiac carcimoma were randomly divided into two groups,32 patients in the ρ-type group received ρ-type jejunal interposition in situ generation,32 patients in the control group received standard Roux-en-Y anastomosis .Results There was no significant difference in the operative time and intraoperative blood loss between ρ-type group and control group ( P>0 .05 ) .Three months after operation,the emptying time of ρ-type group was significantly longer than that of control group ,the single food intake was significantly higher than that of control group ( P<0 .05 ) .Three months after operation ,the number of daily diet and incidence of postoperative complications of ρ-type group were significantly lower than the controls (P<0.05). Conclusion ρ-type jejunal interposition in situ generation is safe and reliable , with low incidence of postoperative complications,which can effectively improve the total gastrectomy patients′quality of life.