摘要
目的探讨Braun吻合预防胃癌根治术后胃瘫的作用.方法回顾性分析我院1990年～2002年480例胃癌根治术的临床资料.结果未做Braun吻合的360例,发生胃瘫19例,发病率为5.28%;加做Braun吻合的120例,仅发生胃瘫1例,发病率为0.83%(P＜0.05).结论行胃癌根治术胃肠重建时,在残胃-空肠毕-Ⅱ氏吻合的基础上,加做Braun吻合能很好的预防术后胃瘫的发生.
Objective To explore the prevention of postoperative gastroparalysis by Braun-anastomosis.Methods The clinical data of 480 patients with gastric carcinoma after radical resection were retrospectively analyzed,including 360 cases without Braun-anastomosis and 120 cases with Braun-anastomosis additionally.Results Only one patient had gastroparalysis in 120 cases with Braun-anastomosis( 0.83% ),but 19 patients had gastroparalysis in 360 cases without Braun-anastomosis( 5.28% )with the difference being significant between the two groups(P< 0.05 ).Conclusion Bastrojejunostomic anastomosis in combination with Braun-anastomosis to gastrointestinal reconstruction in radical gastrectomy for gastric carcinoma can prevent postoperative gastroparalysis efficiently.The procedure is simple with satisfied results.
出处
《腹部外科》
2005年第2期104-105,共2页
Journal of Abdominal Surgery
