【摘要】 目的探讨全胃切除术后较理想的消化道重建方式。方法对近6年来1 2 2例施行全胃切除术患者的临床资料进行回顾性分析。全胃切除后消化道重建分别采用全胃切除术后消化道重建Orr式Roux-en-Y食管空肠吻合术、P型空肠袢食管空肠Roux-en-Y吻合术和远端空肠反口贮袋的Roux-en-Y食管空肠吻合术。结果3种术式在食后烧灼感、进食量、进食次数、体重下降、倾倒综合征、血红蛋白、白蛋白等指标的比较,无明显差异(均P>0.0 5)。P型空肠袢食管空肠Roux-en-Y吻合术组所用手术时间显著多于Orr组及反口组(P<0.0 5)。反口组的贮袋大小及半排空时间显著优于Orr组及P袢组(P<0.0 5)。结论远端空肠反口贮袋的Roux-en-Y吻合术是一种值得推荐的新型全胃切除术后消化道重建方法。更多还原

【Abstract】 Objective To study the optimal procedure of digestive tract reconstruction after total gastrectomy.Methods The clinical data of 122 patients who underwent total gastrectomy in the recent 6 years were(analyzed) retrospectively.Three types of reconstruction procedures,including Orr-type Roux-en-Y(esophagojejunostomy),P-type jejunal pouch Roux-en-Y esophagojejunostomy and distal jejunal aboral pouch Roux-en-Y esophagojejunostomy,were performed.Results There were no significant differences among the three procedures in heartburn and the amount of food intake,frequencies of meal,weight loss,dumping(syndrome),and hemoglobin and albumin levels.The operation time in P-type group was longer than the other two group(P<0.05).The size of pouch and pouch emptying function in aboral pouch group were(significantly) superior to the other groups.Conclusions Distal jejunal aboral pouch Roux-en-Y(esophagojejunostomy) can be recommended as a new procedure for digestive reconstruction after total(gastrectomy.)更多还原