【摘要】 目的:探讨胃癌全胃切除术后两种消化道重建术式的疗效。方法:选择我院2003年10月~2008年3月收治的胃癌全胃切除术患者110例,其中60例患者采用Orr式Roux-en-Y空肠食管吻合术进行消化道重建(Orr组),50例患者采用Moynihan吻合术进行消化道重建(Moynihan组),比较两组手术情况、术后并发症及远期生存情况。结果:两组患者手术死亡率、术后生存率比较,差异无统计学意义(P>0.05),但是Orr组反流性食管炎发生率(3.0%)明显少于Moynihan组(66.0%),两组比较,差异有统计学意义(χ2=19.713,P<0.05);Orr吻合手术时间[(175±10)min]短于Moynihan吻合[(198±15)min],两组比较,差异有统计学意义(t=8.236,P<0.05)。结论:Orr式Roux-en-Y空肠食管吻合术进行胃癌全切除后消化道重建,并发症少,操作方便,是一种较为合适的消化道重建方式。更多还原

【Abstract】 Objective: To investigate the efficacy of two digestive tract reconstruction methods after total gastrectomy of gastric cancer.Methods: 110 patients of gastric cancer in our hospital from October 2003 to March 2008 were devded into Orr group(60 cases were treated by Orr-type Roux-en-Y jejunal anastomosis) and Moynihan group(50 cases were treated by Moynihan anastomosis);surgery,postoperative complications,and long-term survival were compared.Results: the dif ference of operative mortality,survival rate in two groups had no significant(P>0.05),but reflux esophagitis of Orr group(3.0%) was significantly less than Moynihan group(66%),and there were significantly differences(χ2=19.713,P<0.05).Orr was easy to operate and operation time [(175±10)min] was significantly short than Moynihan group [(198±15)min],and the dif-ference was statistically significant(t=8.236,P<0.05).Conclusion: Orr-type Roux-en-Y jejunal esophageal anastomosis for reconstruction after gastric resection is easy to operate with few complications,and it is an appropriate method of diges-tive tract reconstruction.更多还原