摘要
目的观察并评价胃-空肠"0"点吻合改进手术方式治疗消化性溃疡和早期远端胃癌的临床疗效。方法治疗组35例采用胃-空肠"0"点吻合治疗,对照Ⅰ组32例应用胃-十二指肠吻合,对照Ⅱ组24例采用胃-空肠吻合,观察3组患者术后的胃肠功能恢复时间、排便时间、术后出血、近侧攀瘀积、输出攀梗阻、肠粘连及综合评分情况。结果术后治疗组肠功能恢复时间平均为(39.4±3.7)h,术后排便时间(50.2±4.7)h;预后情况为Ⅰ级29例(82.9%),均明显优于对照组(P<0.05),对照组Ⅰ与对照Ⅱ组上述指标差异无统计学意义(P>0.05);治疗组无1例并发症发生(P<0.05)。结论用胃-空肠"0"点吻合胃大部切除术治疗消化性溃疡和早期远端胃癌有利于患者胃肠功能的尽快恢复,并可降低并发症发生率。
Objective To assess the clinical efficacy of the improved ＂ 0 ＂ point gastrojejunostomy in the treatment of peptic ulcer and early distal gastric cancer. Methods Thirty five patients in the test group received the improved ＂0＂ point gastrojejunostomy;32 patients in the control group I and 24 patients in the control group ]] received gastroduodenostomy and gastrojejunostomy, respectively. The recovery time of gastrointestinal function, defecation time, postoperative bleeding, afferent loop siltation, efferent loop obstruction, intestinal adhesion, and comprehensive score were observed after three types of anastomosises. Results The test group was significantly better than the control groups （ P 〈 0.05 ） in the intestinal function recovery time （239.4 ± 3.7 ） h, defecation time （50.2 ± 4.7 ） h, and the prognosis （82.9%） ,however,there was no significant difference between the two control groups （ P 〉 0.05 ）. Conclusion The subtotal gastrectomy and ＂0＂ point gastrojejunostomy for treatment of peptic ulcer and early distal gastric cancer is beneficial to the early and recovery of the patients and may reduce the incidence of complications.
出处
《河北医科大学学报》
CAS
2010年第6期648-650,共3页
Journal of Hebei Medical University
关键词
胃切除术
治疗结果
手术后并发症
gastrectomy
treatment outcome
postoperative complications
