CAJ | 학술논문

目的：探讨间置空肠代胃吻合术（jejunal interposition pouch，JIP）与Roux-en-Y代胃手术对患者术后生存质量影响的差异性。方法：回顾性分析本院2006年至2011年收治的45例胃癌患者。按手术方式分为两组，即采用间置空肠代胃吻合术与Roux-en-Y代胃手术。记录其手术时间、住院天数、早期并发症与晚期并发症以及术后患者营养性指标，评估患者术后生存质量的差异性。结果：两组在手术时间、住院天数与早期并发症发生率之间的差异性无统计学意义（P＞0．05），而间置空肠代胃吻合术后远期并发症的发生率明显低于Roux-en-Y术式，其术后1年的营养状况更是优于Roux-en-Y术式，差异具有统计学意义（P＜0．05）。结论：间置空肠代胃吻合术相对于Roux-en-Y术式可以明显降低患者术后远期并发症的发生，且可以提高患者术后生存质量，值得推广。
목적：탐토간치공장대위문합술（jejunal interposition pouch，JIP）여Roux-en-Y대위수술대환자술후생존질량영향적차이성。방법：회고성분석본원2006년지2011년수치적45례위암환자。안수술방식분위량조，즉채용간치공장대위문합술여Roux-en-Y대위수술。기록기수술시간、주원천수、조기병발증여만기병발증이급술후환자영양성지표，평고환자술후생존질량적차이성。결과：량조재수술시간、주원천수여조기병발증발생솔지간적차이성무통계학의의（P＞0．05），이간치공장대위문합술후원기병발증적발생솔명현저우Roux-en-Y술식，기술후1년적영양상황경시우우Roux-en-Y술식，차이구유통계학의의（P＜0．05）。결론：간치공장대위문합술상대우Roux-en-Y술식가이명현강저환자술후원기병발증적발생，차가이제고환자술후생존질량，치득추엄。
Objective:To study the effect on postoperative survival quality of patients treated by jejunal interposi-tion pouch(JIP)or Roux-en-Y.Methods:A total of 45 patients with gastric cancer undergoing total gastrectomy were divided into two groups according to operation method,JIP and Roux-en -Y.Operation time,hospitalization days,early and late complications and postoperative nutritional indicators were analuzed to evalute the life quality of patients.Results:There were no statistically significant of two groups in operation time,hospitalization days,early complications(P>0.05),but the incidence rate of late complications and postoperative nutritional indicators by JIP were significantly lower than control group,and the difference was statistically significant(P<0.05).Conclusion:JIP can reduce the incidence rate of late complications and improve the quality of patients life.