CAJ | 학술논문

目的：探讨改良空肠间置术在近端胃癌根治术中的治疗效果。方法选择15例近端胃癌患者作为观察组，行近端胃癌根治时采用改良空肠间置术重建消化道；选择同期15例胃近端癌行近侧胃大部切除术，残胃-食管吻合患者作为对照组。观察比较2组患者的术中出血量、手术时间、术后并发症及患者生活质量等情况。结果2组病例均无围手术期死亡病例，无吻合口漏、中度以上贫血及倾倒综合征病例发生。2组术中出血情况无明显差异，观察组手术时间略长于对照组（P＜0.05）；术后并发症发生情况比较，2组胃排空情况及返流性食管炎发生率有显著差异（P均＜0.05）；患者术后6个月的体质量及营养指标变化情况比较，观察组患者术后生活质量显著优于对照组患者（P＜0.05）。结论在近端胃癌根治术中应用改良空肠间置术，可以显著减少术后并发症的发生，改善患者术后的生活质量，值得临床推广。
목적：탐토개량공장간치술재근단위암근치술중적치료효과。방법선택15례근단위암환자작위관찰조，행근단위암근치시채용개량공장간치술중건소화도；선택동기15례위근단암행근측위대부절제술，잔위-식관문합환자작위대조조。관찰비교2조환자적술중출혈량、수술시간、술후병발증급환자생활질량등정황。결과2조병례균무위수술기사망병례，무문합구루、중도이상빈혈급경도종합정병례발생。2조술중출혈정황무명현차이，관찰조수술시간략장우대조조（P＜0.05）；술후병발증발생정황비교，2조위배공정황급반류성식관염발생솔유현저차이（P균＜0.05）；환자술후6개월적체질량급영양지표변화정황비교，관찰조환자술후생활질량현저우우대조조환자（P＜0.05）。결론재근단위암근치술중응용개량공장간치술，가이현저감소술후병발증적발생，개선환자술후적생활질량，치득림상추엄。
Objective To explore the effect of improvement in the treatment of jejunal resection of the proximal gastric.Methods 30 cases of proximal gastric cancer patients during July 2011 and June 2013 surgeried in our hospital were analyzed retrospectively. All patients were divided into 2 groups according to the styles of reconstruction:15 cases who were treated by jejunal interposition as observer group,and other 15 patients received gastroesophagostomy were as control group. To analysis and compare blood loss, operative time, postoperative complications and quality of life of patients after surgery of the two groups.Results There were no perioperative deaths , no anastomotic leakage , moderate or severe anemia and dumping syndrome cases occurred in the two groups of patients. Two cases no signiifcant difference in blood loss , operative time was slightly longer than the observation group than the control group ; Comparing postoperative complications occurred , both gastric emptying and relfux esophagitis was significantly different (P<0.05); Weight observed and compared six postoperative changes and nutritional indicators , there are significant differences between the two , the quality of life in patients with postoperative observation group than the control group patients.Conclusion Improved jejunal interposition In the inter- proximal gastrectomy surgery can signiifcantly reduce the incidence of postoperative complications and signiifcantly improve the quality of life of patients after surgery , worthy of clinical promotion.