摘要
目的探讨全胃切除术后发生Roux-en-Y滞留综合征(RYS)风险因素及防范措施。方法回顾性分析2012年7月至2016年7月潍坊医学院附属益都中心医院行全胃切除术76例患者的临床资料,通过单因素和多因素Logistic回归模型分析全胃切除术后发生RYS的危险因素。结果 76例患者男45例,女31例,年龄中位数为59.5岁。术后RYS的发病率为10.53%(8/76)。单因素分析显示,结肠前吻合和上升肠襻长度≥45 cm,与全胃切除术后RYS发生有关(χ~2=7.578、6.887,P=0.006、0.009)。多因素Logistic回归分析显示,上升肠襻长度≥45 cm是全胃切除术后发生RYS的独立危险因素(OR=11.625,95%CI=1.286～105.052,P=0.029)。结论全胃切除术中上升肠襻长度尽量保留40 cm左右,以降低RYS发生率。
Objective To investigate the risk factors and preventive measures of Roux-en-Y stasis syndrome (RYS) after total gastrectomy. Methods Clinical data of seventy-six patients undergoing total gastrectomy in Yidu Central Hospital Affiliated to Weifang Medical University between July 2012 and July 2016 were analyzed retrospectively. Univariate and multivariate analysis were applied to evaluate factors influencing RYS after total gastrectomy using log-rank and Logistic regression model. Results There were 45 males and 31 females with a median age of 59.5 years. The incidence of RYS after total gastrectomy was 10.53%(8/76). Univariate log-rank test indicated that antecolic reconstruction and the ascending limb measured more than 45 cm were significantly associated with RYS after total gastrectomy (χ^2=7.578, 6.887;P=0.006, 0.009). Multivariate analysis showed that the ascending limb measured more than 45 cm was an independent factor of RYS after total gastrectomy (OR=11.625, 95%CI=1.286-105.052, P=0.029). Conclusion It is recommended that the ascending limb between esophagojejunostomy and enteroenterostomy should be about 40 cm in order to reduce the incidence of RYS.
作者
袁其华
陈立英
王敬文
冷开明
Yuan Qihua;Chen Liying;Wang Jingwen;Leng Kaiming(Department of Gastrointestinal Surgery, Yidu Central Hospital Affiliatedto Weifang Medical University, Weifang 262500, China;Department of Biliary and Pancreatic Surgery, theSecond Affiliated Hospital of Harbin Medical University, Harbin 150086, China)
出处
《中华普通外科学文献（电子版）》
2019年第2期134-136,共3页
Chinese Archives of General Surgery(Electronic Edition)
