摘要
目的:探讨不同消化道重建方式对早期贲门癌近端胃切除后生活质量的影响。方法:选择某院收治的早期贲门癌近端胃切除患者96例,按消化道重建方式分为对照组和观察组,每组各48例。对照组采用食管-胃直接吻合,观察组采用连续空肠间置吻合。术后随访6个月,比较2组患者围术期指标、营养情况、生活质量、并发症发生率。结果:术后6个月,观察组转铁蛋白、前白蛋白水平较对照组高,生活质量评分较对照组低,差异有统计学意义(P<0.05);观察组吻合口狭窄、吻合口溃疡、反流性食管炎发生率较对照组低,差异有统计学意义(P<0.05);2组患者出血量、手术时间、住院时间、吻合口瘘发生率比较,差异无统计学意义(P>0.05)。结论:与食管-胃直接吻合相比,早期贲门癌近端胃切除后采用连续空肠间置吻合行消化道重建可改善患者营养情况,降低并发症发生率,提高生活质量。
Objective: To investigate the effect of two digestive tract reconstruction methods on quality of life in patients with proximal gastrectomy for cardiac cancer. Methods: Clinical data of 96 patients with proximal gastrectomy for cardiac cancer in a hospital were retrospectively collected. They were divided into a control group and an observation group by digestive tract reconstruction methods, with 48 cases in each group. The control group adopted esophagus-stomach anastomosis, while the observation group was treated with continuous jejunal anastomosis. During the postoperative 6 months of follow-up, the perioperative indexes, nutritional status, quality of life, incidence of complications were compared between the two groups. Results: 6 months after the surgery, the levels of transferrin and prealbumin in the observation group were higher than those in the control group, while the score of quality of life in the observation group was lower than that in the control group ( P <0.05). The incidence of anastomotic stenosis, anastomotic ulcer and reflux esophagitis in the observation group was lower than that in the control group ( P <0.05);There was no statistical difference in terms of bleeding volume, operation time, hospital stays, or incidence of anastomotic fistula between the two groups ( P >0.05). Conclusion: Compared with esophagus-stomach anastomosis, continuous jejunal anastomosis in patients with proximal gastrectomy for cardiac cancer can improve nutritional status, decrease the incidence of complications and ameliorate quality of life.
作者
金洛伊
司马培博
张校阳
段跃建
JIN Luo-yi;SIMA Pei-bo;ZHANG Xiao-yang(People's Hospital of Yichuang County, Henan 471300, China)
出处
《淮海医药》
CAS
2019年第4期372-374,共3页
Journal of Huaihai Medicine
关键词
贲门癌
胃切除术
连续空肠间置吻合
食管-胃直接吻合
生活质量
Cardiac cancer
Gastrectomy
Continuous jejunal anastomosis
Esophagus-stomach anastomosis
Quality of life
