CAJ | 학술논문

目的：探讨根治性全胃切除空肠间置代胃术对胃癌患者的疗效。方法选取2007年3月～2010年3月我院收治的胃癌患者80例，作为研究对象，患者均于手术术前、术后7d、术后6个月内进行相关指标检测，1年内进行持续随访。结果80例胃癌患者全部顺利完成了手术，无手术死亡病例。患者术后症状消失，进食顺利，体重增加，无严重并发症发生。在1年的随访期内也无患者死亡。结论在全胃切除后实施连续空肠间置术对消化道进行重建，既能最大限度清除癌变病灶又能保留胃肠道的生理功能，减少术后食管反流等并发症的发生并提高患者的术后营养状况。而且胃切除空肠间置代胃术操作简单，患者生存率较高，十分适宜临床的广泛应用和普及。
목적：탐토근치성전위절제공장간치대위술대위암환자적료효。방법선취2007년3월～2010년3월아원수치적위암환자80례，작위연구대상，환자균우수술술전、술후7d、술후6개월내진행상관지표검측，1년내진행지속수방。결과80례위암환자전부순리완성료수술，무수술사망병례。환자술후증상소실，진식순리，체중증가，무엄중병발증발생。재1년적수방기내야무환자사망。결론재전위절제후실시련속공장간치술대소화도진행중건，기능최대한도청제암변병조우능보류위장도적생리공능，감소술후식관반류등병발증적발생병제고환자적술후영양상황。이차위절제공장간치대위술조작간단，환자생존솔교고，십분괄의림상적엄범응용화보급。
Objective To explore the efficacy of radical total gastrectomy jejunal interposition in patients with gastric cancer. Methods 80 patients with gastric cancer in our hospital from March 2007 to March 2010 were selected as the research object.Relevant indexes in all patients were tested prior to operation and 7 days and 6 months after operation,and one-year continuous follow-up was conducted. Results Operation on all the 80 cases of gastric cancer patients were all successfully completed,without death.Postoperative symptoms disappeared,and all patients ate well,with gaining weight and no serious complications occurred.In the one-year follow-up no death occurred. Conclusion The implementation of continuous jejunum after total gastrectomy interposition reconstruction of digestive tract can maximally remove cancerous lesions and preserve the physiological function of the gastrointestinal tract.It can also reduce the occurrence of postoperative esophageal reflux complications and improve the patients'postoperative nutrition status.And gastrectomy jejunal interposition boasts the advantages of simple operation,higher survival rate of the patients,very suitable for clinical application and popularization.