CAJ | 학술논문

目的探讨腹腔镜下胃空肠吻合联合Braun吻合在胃癌并幽门梗阻患者中的应用效果. 方法选择2009年12月—2014年12月收治胃癌并幽门梗阻107例,按治疗方法分为观察组42例和对照组65例. 观察组行腹腔镜下胃空肠吻合术联合Braun吻合术,对照组行腹腔镜下胃空肠吻合术. 观察两组手术及术后恢复情况. 结果观察组胃管留置时间和住院时间均短于对照组,吻合口炎和吻合口梗阻发生率低于对照组,保守治疗时间短于对照组(P<0. 05). 观察组术后3个月白蛋白和总蛋白高于对照组(P<0. 05). 结论腹腔镜下胃空肠吻合联合Braun吻合对晚期胃癌并幽门梗阻无法切除患者的治疗安全可行,可以明显降低术后患者吻合口狭窄的发生,解决患者无法进食症状,改善患者生活质量.
목적 탐토복강경하위공장문합연합Braun문합재위암병유문경조환자중적응용효과. 방법 선택2009년12월—2014년12월수치위암병유문경조107례,안치료방법분위관찰조42례화대조조65례. 관찰조행복강경하위공장문합술연합Braun문합술,대조조행복강경하위공장문합술. 관찰량조수술급술후회복정황. 결과 관찰조위관류치시간화주원시간균단우대조조,문합구염화문합구경조발생솔저우대조조,보수치료시간단우대조조(P<0. 05). 관찰조술후3개월백단백화총단백고우대조조(P<0. 05). 결론 복강경하위공장문합연합Braun문합대만기위암병유문경조무법절제환자적치료안전가행,가이명현강저술후환자문합구협착적발생,해결환자무법진식증상,개선환자생활질량.
Objective To investigate the effect of gastrojejunostomy combined with Braun's anastomosis under laparoscope in treatment of gastric cancer patients with pyloric obstruction. Methods A total of 107 gastric cancer pa-tients with pyloric obstruction from December 2009 to December 2014 were divided into observational group (n=42) and control group ( n=65 ) . The observational group received gastrojejunostomy combined with Braun 's anastomosis under laparoscope, while the control group received gastrojejunostomy under laparoscope. The indexes of postoperative recovery in the two groups were compared. Results In the observational group, the time of stomach tube retention and hospital stay were shortened, and the incidence rates of inflammations and obstruction in anastomotic stoma were significantly low-er, the time of expectant treatment was shorter than those in control group (P<0. 05). Levels of albumin and total pro-tein in postoperative 3 months in the observational group were higher than those in the control group ( P<0. 05 ) . Con-clusion The gastrojejunostomy combined with Braun's anastomosis under laparoscope in treatment of gastric cancer pa-tients with pyloric obstruction, who are impossible to cut tumors, is safe and feasible, and it can reduce the incidence rate of anastomotic stenosis, solve the symptom of difficult eating and improve the quality of life.