摘要
目的:探讨毕Ⅱ式胃癌根治手术中采用连续全层加固缝合十二指肠残端方案的手术效果及对术后生存质量的影响。方法:采取回顾性研究方案,选取我院2017年3月至2021年6月手术治疗的胃癌患者106例进行研究,根据患者手术过程中是否采取连续全层加固缝合十二指肠残端方案分为研究组60例(毕Ⅱ式胃癌根治手术+连续全层加固缝合十二指肠残端方案)、对照组46例(毕Ⅱ式胃癌根治手术+常规荷包加固缝合十二指肠残端或不加固缝合),对比两组患者的手术过程指标、胃肠道Visick分级、术后恢复情况、患者生存质量评分及手术并发症差异。结果:统计分析手术时间、消化道重建时间、手术出血量、术后肛门首次排气时间、术后首次进食时间、住院时间数据并进行对比,研究组和对照组患者之间差异无统计学意义(P>0.05);研究组和对照组患者的Visick分级分布情况比较,差异不具有统计学意义(P>0.05);研究组的手术并发症发生率8.33%低于对照组患者的28.26%,差异具有统计学意义(P<0.05);研究组患者的恶心呕吐症状评分低于对照组,差异具有统计学意义(P<0.05)。结论:毕Ⅱ式胃癌根治手术中采用连续全层加固缝合十二指肠残端方案有利于降低手术并发症率,一定程度上改善患者手术后的生存质量。
Objective:To investigate the surgical effect of continuous full-thickness reinforcement and suture of duodenal stump in Bi-type radical gastrectomy for gastric cancer and its effect on postoperative quality of life.Methods:A retrospective research plan was adopted,and 106 gastric cancer patients who were surgically treated in our hospital from March 2017 to June 2021 were selected for study.According to whether the patients adopted continuous full-thickness reinforcement and suture of duodenal stump during the operation,they were divided into studies.60 cases in the group(Bi II radical operation for gastric cancer+continuous full-thickness reinforcement and suture of duodenal stump),46 cases in the control group(Bi II radical operation for gastric cancer+conventional purse-string reinforcement and suture of duodenal stump or no reinforcement suture),and the differences in surgical process indicators,gastrointestinal Visick classification,postoperative recovery,patient quality of life scores and surgical complications were compared between the two groups.Results:The data of operation time,digestive tract reconstruction time,operation bleeding,first postoperative anal exhaust time,first postoperative feeding time,and hospitalization time were statistically analyzed and compared.There was no significant difference between the study group and the control group(P>0.05).There was no significant difference in the distribution of Visick grading between the study group and the control group(P>0.05).The incidence of surgical complications in the study group was 8.33%lower than that in the control group(28.26%),and the difference was statistically significant(P<0.05).The score of nausea and vomiting in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of continuous full-thickness reinforcement and suture of duodenal stump in Bi-type radical gastrectomy for gastric cancer is beneficial to reduce the surgical complication rate and improve the s
作者
冯树森
张东成
郭奇
FENG Shusen;ZHANG Dongcheng;GUO Qi(Ya'an People's Hospital/West China Hospital of Sichuan University Ya'an Hospital,Sichuan Ya'an 625000,China)
出处
《河北医学》
CAS
2023年第3期451-456,共6页
Hebei Medicine
基金
四川省卫生和计划生育委员会科研课题,(编号:17PJ034)。
关键词
毕Ⅱ式手术
胃癌根治手术
加固缝合
十二指肠残端
生存质量
Bi type II operation
Radical operation for gastric cancer
Reinforcement suture
Duodenal stump
Survival quality
