CAJ | 학술논문

目的比较Roux-en-Y与毕I式消化道重建在远端胃癌根治术后的远期疗效。方法回顾分析2003年1月至2011年1月期间在广东高州市中医院行远端胃癌根治术患者137例患者的临床资料，其中行Roux-en-Y消化道重建的患者70例（R-Y组），行毕I式消化道重建的患者67例（毕I组），术后均进行至少3年的随访。对术后远期胃肠功能、内镜RGB评分、营养指标以及远期并发症的进行对比。结果术后3年，两组患者的术后远期营养指标、术后远期胃肠道并发症的对比P值均>0.1，差异无统计学意义，而R-Y组远期胃食管返流征、食物残留、残胃炎及胆汁返流的情况明显少于毕I组，两组P值均<0.01，两组有显著的统计学意义。结论 Roux-en-Y式比毕I式更适合于远端胃癌根治术的消化道重建。
목적비교Roux-en-Y여필I식소화도중건재원단위암근치술후적원기료효。방법회고분석2003년1월지2011년1월기간재엄동고주시중의원행원단위암근치술환자137례환자적림상자료，기중행Roux-en-Y소화도중건적환자70례（R-Y조），행필I식소화도중건적환자67례（필I조），술후균진행지소3년적수방。대술후원기위장공능、내경RGB평분、영양지표이급원기병발증적진행대비。결과술후3년，량조환자적술후원기영양지표、술후원기위장도병발증적대비P치균>0.1，차이무통계학의의，이R-Y조원기위식관반류정、식물잔류、잔위염급담즙반류적정황명현소우필I조，량조P치균<0.01，량조유현저적통계학의의。결론 Roux-en-Y식비필I식경괄합우원단위암근치술적소화도중건。
Objective To compare the two types of digestive tract reconstruction,Roux-en-Y and Billroth-Ⅰafter radical op-eration for gastric cancer. Methods The clinical records of 137 patients who received radical operation for gastric cancer in Gaozhou Hospital of TCM from January 2003 to January 2011 were reviewed. The patients were divided into two groups according the anastomosis methods,47 patients in B-Ⅰ group were treated with Billroth-Ⅰ anastomosis and 70 cases in R-Y group were treated with Roux-en-Y anastomosis. All of them were followed-up after operaton at least 3 years. The clinical and following-up data,including long-term gastrointestinal function,RGB score of endoscope,nutritional status,long-term complication,were com-pared between the two groups. Results The difference of the nutritional status and complications rate between B-Ⅰgroup and R-Y group were not statistically significant(P>0.10). The occurrence rate of reflux esophagitis gastroscopy,residual food,residual gas-tritis,bile regurgitation in R-Y group 3 years after the operation was lower than that in B-Ⅰgroup,the difference was statistically significant(P<0.01). Conclusion Roux-en-Y is a better reconstruction procedure than Billroth-Ⅰanastomosis after distal gastrec-tomy for gastric cancer.