摘要
对因溃疡病行Ｒｏｕｘ－ｅｎ－Ｙ胃肠重建治疗的１１０例患者行１～１４年远期随访。结果：属ＶｉｓｉｃｋⅠ级者８９例（８０．９０％），Ⅱ级者１７例（４５．４５％），Ⅲ级者３例（２．７０％），Ⅳ级者１例（０．９０％）；并发吻合口浅表溃疡２例（１．８０％），轻度胃滞留综合征７例（６．３０％）。全组无碱性返流性胃炎和残胃癌发生。因此，作者认为Ｒｏｕｘ－ｅｎ－Ｙ胃肠重建可有效预防和治疗碱性近流性胃炎，且无输入拌并发症，若技术条件得当，其溃疡复发和胃滞留综合征不会高于Ｂｉｌｌｒｏｔｈ胃肠吻合。
One hundred and ten patients with gastric ulcer underwent Roux-en-Y gastroentestinalreconstruction. The results of follow up from 1 to 14 years are as follows: Visick' s grade Ⅰ 89 cases(80. 90%), grade Ⅱ 17 cases (10. 40% ), grade Ⅲ 3 cases (2. 70% ), and grade Ⅳ 1 case (0. 90% ).Two patients (1. 80 % ) complicated with superficial marginal ulcer, and 7 cases (6. 30 % ) with mild gastricretention. Neither alkaline reflux gastritis nor gastric remnant cancer was found in all this patients. Theauthors consider that Roux-en-Y gastroentestinal reconstruction could effectively prevent and treat alkaline gastritis, and there was no afferent loop complication in this series. The rate of recurrence andgastric retention was not higher than that of the Billroth operation.
