中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
9期
1191-1192,1196
,共3页
腹腔镜%根治手术%空肠间置代胃术%胃癌
腹腔鏡%根治手術%空腸間置代胃術%胃癌
복강경%근치수술%공장간치대위술%위암
Laparoscopic%Radical surgery%Jejunum interposition%Gastric cancer
目的：探讨腹腔镜下根治手术配合空肠间置代胃术治疗胃癌的临床疗效。方法：将126例2012年6月至2013年6月期间我院收治的胃癌患者按数字随机法分为A组和B组，每组患者63例。A组患者进行腹腔镜下根治手术配合空肠间置代胃术治疗。B组患者行全胃切除食管空肠袢式吻合术，比较两组手术时间、并发症、术后营养学指标和生活质量等。结果：治疗后A组体重、总蛋白、血红蛋白和白蛋白等营养学指标水平分别为（57.96±24.16）kg、（71.58±8.14）g/dl、（15.21±2.65）g/dl和（39.47±4.05）g/dl，均高于B组的（46.62±14.78）kg、（57.42±7.95）g/dl、（8.43±2.47）g/dl和（30.01±2.86）g/dl，且A组躯体功能、躯体角色、肢体疼痛等8个维度的生活质量评分得分亦较B组明显提高，差异有统计学意义（P＜0.05）。A组手术时间为（40.08±5.54）min，少于B组的（49.84±6.51）min，差异有统计学意义（t=4.25，P＜0.05）。A组术后总并发症发生率较B组降低（P＜0.05）。结论：腹腔镜下根治手术配合空肠间置代胃术治疗胃癌的手术时间短，患者并发症发生少，患者全营养状况和生活质量均改善。
目的：探討腹腔鏡下根治手術配閤空腸間置代胃術治療胃癌的臨床療效。方法：將126例2012年6月至2013年6月期間我院收治的胃癌患者按數字隨機法分為A組和B組，每組患者63例。A組患者進行腹腔鏡下根治手術配閤空腸間置代胃術治療。B組患者行全胃切除食管空腸袢式吻閤術，比較兩組手術時間、併髮癥、術後營養學指標和生活質量等。結果：治療後A組體重、總蛋白、血紅蛋白和白蛋白等營養學指標水平分彆為（57.96±24.16）kg、（71.58±8.14）g/dl、（15.21±2.65）g/dl和（39.47±4.05）g/dl，均高于B組的（46.62±14.78）kg、（57.42±7.95）g/dl、（8.43±2.47）g/dl和（30.01±2.86）g/dl，且A組軀體功能、軀體角色、肢體疼痛等8箇維度的生活質量評分得分亦較B組明顯提高，差異有統計學意義（P＜0.05）。A組手術時間為（40.08±5.54）min，少于B組的（49.84±6.51）min，差異有統計學意義（t=4.25，P＜0.05）。A組術後總併髮癥髮生率較B組降低（P＜0.05）。結論：腹腔鏡下根治手術配閤空腸間置代胃術治療胃癌的手術時間短，患者併髮癥髮生少，患者全營養狀況和生活質量均改善。
목적：탐토복강경하근치수술배합공장간치대위술치료위암적림상료효。방법：장126례2012년6월지2013년6월기간아원수치적위암환자안수자수궤법분위A조화B조，매조환자63례。A조환자진행복강경하근치수술배합공장간치대위술치료。B조환자행전위절제식관공장번식문합술，비교량조수술시간、병발증、술후영양학지표화생활질량등。결과：치료후A조체중、총단백、혈홍단백화백단백등영양학지표수평분별위（57.96±24.16）kg、（71.58±8.14）g/dl、（15.21±2.65）g/dl화（39.47±4.05）g/dl，균고우B조적（46.62±14.78）kg、（57.42±7.95）g/dl、（8.43±2.47）g/dl화（30.01±2.86）g/dl，차A조구체공능、구체각색、지체동통등8개유도적생활질량평분득분역교B조명현제고，차이유통계학의의（P＜0.05）。A조수술시간위（40.08±5.54）min，소우B조적（49.84±6.51）min，차이유통계학의의（t=4.25，P＜0.05）。A조술후총병발증발생솔교B조강저（P＜0.05）。결론：복강경하근치수술배합공장간치대위술치료위암적수술시간단，환자병발증발생소，환자전영양상황화생활질량균개선。
[ABSTRACT]Objective: To investigate the clinical effect of laparoscopic radical surgery and jejunum interposition treating gastric cancer.Methods:126 gastric cancer patients in our hospital from June, 2012 to June, 2013 were divided into group A and group B according to digital random method, 63 cases for each group. Group A was treated with laparoscopic radical surgery and jejunum interposition and Group B was treated with braun esophagojejunostomy. Operation time, complications, and postoperative nutrition index and life quality after treatment were compared.Results:Weight, total protein, albumin and hemoglobin level of group A after treatment are (57.96±24.16) kg, g/dl (71.58±8.14), (15.21±2.65) g/dl and (39.47±4.05) g/dl respectively, which are higher than the (46.62±14.78) kg, (57.42±7.95) g/dl, g/dl (8.43±2.47) and (30.01± 2.86) g/dl of group B,and score points of physical function, physical character, body pain and other dimensions of life quality of group A are higher than that of group B, and the difference is statistically signiifcant (P<0.05). Operating time of group A is (40.08±5.54) min, which is shorter than the (49.84±6.51) min of group B (t=4.25,P<0.05).Total postoperative complication rate of group A is lower than that of group B (P<0.05).Conclusion:Laparoscopic radical surgery and jejunum interposition treating gastric cancer is worthy of clinical use for it can shorter operation time, reduce complications, and improve nutritional status and life quality.
