【摘要】 目的探讨保留幽门功能术式对近端胃癌手术治疗的根治性及术后生存质量的影响。方法总结72例(治疗组38例,对照组34例)早期近端胃癌的临床资料,分析比较两种术式的根治性及消化道重建方式与术后并发症及生活质量。结果治疗组保留幽门下动脉并加行幽门成型术,淋巴结清扫无困难,术后无胃排空延迟,在根治性与生存率方面与对照组比较差异无统计学意义(P>0.05),在术后并发症及生存质量方面优于对照组(P<0.05)。结论近端胃癌采用保留幽门功能术式进行根治性治疗,术式简捷、省时,效果好,术后并发症少,可以达到根治目的,并能明显改善术后生存质量,符合“生理性”胃肠道重建原则。更多还原

【Abstract】 Objective:To investigate the curative effect of pylorus-function-preserving gastrectomy for proximal gastric cancer patients and the influence on their postoperative quality of life.Methods:clinical data of 72 early proximal gastric cancer patients were collected, with 38as treatment group and 34 as controls. Curative effect, postoperative complications, and quality of life after surgery of the two gastrointestinal reconstruction style were compared. Results:The subpylorus artery was preserved and additional pyloroplasty was applied in the study group.There’s little difficulty in lymph node disection and no delayed gastric emptying.campared with the control. No difference in curative and survival rate (P>0.05)but obvious stastatic difference in postoperative complications and qulity of life (P<0.05)was observed.Conclusion:The pylorus-preserving gastrectomy can be used in early proximal gastric.It makes the operation easier and achieves radical therapeutic effect and improves the patients’ quality of life due to its compliance with the “phisical” gastrointestinal reconstruction principle.更多还原