中国现代医学杂志2017，Vol.27Issue(7)：129-131,3.DOI:10.3969/j.issn.1005-8982.2017.07.029
全胃切除术中2种吻合方式的临床对比研究
Clinical comparison of two types of anastomosis in total gastrectomy for patients with gastric cancer
柯延壮 1侯本新 1刘松平1
作者信息
- 1. 海南省农垦三亚医院 普外科,海南 三亚 572000
- 折叠
摘要
Abstract
Objective To investigate and compare clinical effects and safety of jejunal interposition with three holes and esophageal jejunum anastomosis with one hole in total gastrectomy for treatment of patients with gastric cancer. Methods Totally 140 patients with gastric cancer receiving total gastrectomy were chosen and randomly divided into group A (70 patients) with esophageal jejunum anastomosis with one hole and group B (70 patients) with jejunal interposition with three holes. The exhaust and defecation time after surgery, hospitalization time, Christensen fatigue score, inflammation factor levels after surgery and incidence of postoperative complications were compared between both groups. Results The exhaust and defecation time after surgery and the hospitalization time of the group B were significantly longer than those of the the group A ( p< 0.05). The Christensen fatigue score after surgery in the group B was significantly higher than that of the group A ( p< 0.05). The serum CRP and IL-6 levels after surgery in the group B were significantly higher than those in the group A ( p< 0.05). The incidences of postoperative complications of the group B were significantly higher than those of the group A (p <0.05). Conclusions Compared with jejunal interposition with three holes, esophageal jejunum anastomosis with one hole in total gastrectomy for the patients with gastric cancer can efficiently speed up recovery process of postoperative gastrointestinal function, reduce fatigue degree and inflammation, and is helpful to prevent postoperative complications.关键词
消化道吻合/全胃切除/胃癌Key words
alimentary tract anastomosis/total gastrectomy/gastric cancer分类
医药卫生引用本文复制引用
柯延壮,侯本新,刘松平..全胃切除术中2种吻合方式的临床对比研究[J].中国现代医学杂志,2017,27(7):129-131,3.
