局解手术学杂志2018，Vol.27Issue(2)：111-114,4.DOI:10.11659/jjssx.11E017015
全胃切除术后间置空肠代胃术与Roux-en-Y术消化道重建的疗效观察
Effects of jejunal interposition and Roux-en-Y surgery after total gastrectomy
高少科 1李青科 2张云昌 1牛学瑞1
作者信息
- 1. 邢矿集团总医院普外科,河北 邢台054000
- 2. 唐山市人民医院普外科,河北 唐山063000
- 折叠
摘要
Abstract
Objective To investigate and compare the effects of jejunal interposition and Roux-en-Y surgery after total gastrectomy. Methods The clinical data of 41 patients with gastric cancer who underwent total gastrectomy in our hospital from June 2013 to June 2016 were retrospectively analyzed.According to the different ways of reconstruction of digestive tract,the patients were divided into observation group and control group.Patients of the observation group were with jejunal interposition surgery,while patients of the control group were trea-ted with Roux-en-Y surgery,and the effects of the two groups were compared and analyzed.Results There was no significant difference be-tween the two groups in the time of reconstruction,length of hospital stay and the incidence of complications(P>0.05).One year after sur-gery,incidence of complications,albumin,total health score,fatigue score,and disgust score of the observation group were significantly better than those of the control group with statistically significant difference(P<0.05).There was no significant difference between the two groups in survival rate,hemoglobin,total protein,weight changes(P>0.05).Conclusion For patients with total gastrectomy,jejunal interposition and Roux-en-Y surgery had similar effect.But in terms of the long-term effect,jejunal interposition can reduce complications and improve lev-el of nutrition and quality of life.关键词
全胃切除术/间置空肠代胃术/Roux-en-Y吻合术/营养状态/生存质量Key words
total gastrectomy/jejunal interposition/Roux-en-Y surgery nutritional status/quality of life分类
医药卫生引用本文复制引用
高少科,李青科,张云昌,牛学瑞..全胃切除术后间置空肠代胃术与Roux-en-Y术消化道重建的疗效观察[J].局解手术学杂志,2018,27(2):111-114,4.
