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目的探讨胃癌全胃切除术后理想的消化道重建方式。方法对72例胃癌患者按全胃切除术后消化道重建方式的不同,分为空肠食管端侧吻合术(Ⅰ组)和改良功能性空肠间置代胃术(Ⅱ组)。比较二种术式患者术后并发症发生率及营养指标。结果Ⅱ组术后患者的营养状况均明显优于Ⅰ组,均P<0.05;Ⅱ组术后并发症也明显少于Ⅰ组,均P<0.05。结论全胃切除后改良功能性空肠间置代胃重建方式较空肠食管端侧吻合术为胃癌行全胃切除消化道重建较理想的术式,其更有利于患者的营养恢复及减少术后并发症发生率。
Objective To investigate the ideal method of digestive tract reconstruction after total gastrectomy for gastric cancer. Methods 72 patients with gastric cancer were divided into jejunal esophageal end - to - side anastomosis (group Ⅰ) and modified functional jejunal interposition gastric replacement (group Ⅱ) according to the different methods of total gastrectomy. The incidences of postoperative complications and nutritional indexes in two surgical patients were compared. Results The nutritional status of postoperative patients in group Ⅱ was significantly better than that in group Ⅰ (all P <0.05). The postoperative complications in group Ⅱ were also significantly less than those in group Ⅰ (all P <0.05). Conclusions After total gastrectomy, the modified functional jejunal intervertebral reconstruction approach is more ideal than the jejuno-esophageal end-to-side anastomosis for total gastrectomy and gastrointestinal reconstruction of gastric cancer. It is more conducive to the patients with nutritional recovery and reduce postoperative complications The incidence of disease.