【摘要】 目的探析贲门癌近端胃切除空肠间置术预防反流性食管炎的临床效果。方法选择我院2013年1月~2014年1月贲门癌患者100例,按治疗方式的不同分入治疗组、对照组各50例。治疗组予以贲门癌近端胃切除空肠间置术疗法,对照组进行食管胃吻合术,治疗后2w比较两组>5min反流次数、24h总反流次数、反流性食管炎的发生率情况。结果治疗组、对照组术后反流性食管炎的发生率分别为4.0%(2例)、20%(10例),差异具有统计学意义(χ2=6.06,P<0.05);治疗组的手术时间、住院时间、术中出血量等临床指标显著优于对照组(P<0.05)。结论贲门癌近端胃切除空肠间置术,可显著降低术后发生反流性食管炎的发生率,临床效果确切,值得临床推广。更多还原

【Abstract】 Objective To analyze the clinical effect of proximal gastrectomy surgery between jejuna in the prevention of reflux esophagitis in patients with cardia cancer. Methods 100 patients with cardia cancer in our hospital from January 2013 to January 2014 were divided into treatment group and control group according to the different treatments, 50 cases in each group. Treatment group was treated with proximal gastrectomy surgery between jejuna, the control group was performed by esophagogastrostomy, number of reflux episodes(>5min) and 24 h total reflux episodes,reflux esophagitis incidence in 2 weeks later after treatment were compared between the two groups. Results The occur rate of reflux esophagitis in treatment group, the control group were respectively 4%(2 cases), 20%(10 cases), there was a statistically significant difference(χ2=6.06,P <0.05). The operation time, hospitalization time, amount of bleeding and other clinical dexes in treatment group were better than the control group(P<0.05). Conclusion Cardia proximal gastrectomy surgery between jejunal, can significantly reduce the incidence of post operative reflux esophagitis. It is worthy of the clinical promotion.更多还原