摘要
目的:探讨胃大部切除术后常用胃肠重建术式的优劣。方法:回顾性分析117例胃切除术后消化道重建患者的资料。结果:45例Roux-en-Y胃肠重建者无反流性胃炎,无十二指肠残端瘘,预防远期残胃癌极其关键;仅有2例出现滞留综合征。72例Billroth胃肠重建术后反流所致的胃黏膜损害和碱性反流性胃炎,远期残胃癌及其他并发症至今尚无可靠而有效的预防方法。结论:胃切除术后的消化道重建如不能进行Billroth-I式,Roux-en-Y方式应是另一较好的消化道重建术式。
Objective： To summarize the clinical exeperence of the digestive tract reconstruction. Methods： All the cases of digestive tract reconstruction＇s data were retrospectively analyzed. Results： With Roux-en-Y,45 patients has no backstreaming gastritis,no duodenal leak,prevent cancer of the incomplete stomach. With Billroth,tunica mucosa of 72 patients has been harmed by backstreaming,backstreaming gastritis and cancer of the incomplete stomach has no precautionary measure. Conclusion： After gastrectomy,all the digestive tract reconstruction ought to has been rehabilitated with type Roux-en-Y except type Billroth-1.
出处
《中国现代普通外科进展》
CAS
2009年第3期247-249,共3页
Chinese Journal of Current Advances in General Surgery
