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目的探讨改良空肠间置代胃术在全胃切除术中的临床效果及应用意义。方法将80例胃癌全胃切除术患者随机分为对照组40例(空肠间置Roux-en-Y代胃术)、观察组40例(改良空肠间置Roux-en-Y代胃术),对照两组术后半年血红蛋白、总蛋白、白蛋白水平、及腹泻、倾倒综合征、反流性食管炎发病率比较。结果两组术后半年血红蛋白、总蛋白、白蛋白水平比较(t=5.11、5.34、5.66,P<0.05,具有显著性差异);腹泻、倾倒综合征、反流性食管炎发病率比较(χ2=5.21、5.22、5.34,P<0.05,具有显著性差异)。结论改良空肠间置代胃术在全胃切除术中较空肠间置代胃术并发症少,效果显著。
Objective To investigate the clinical effect and application of modified jejunal replacement gastrectomy in total gastrectomy. Methods Eighty patients with gastric cancer undergoing total gastrectomy were randomly divided into control group (40 cases with Roux-en-Y gastrojejunostomy) and observation group (40 cases with modified Roux-en-Y gastrojejunostomy). The incidences of hemoglobin, total protein, albumin, diarrhea, dumping syndrome, and reflux esophagitis were compared in the two groups after six months. Results The hemoglobin, total protein and albumin levels in the two groups were compared after half a year (t=5.11, 5.34, 5.66, P<0.05, with significant difference); the incidence of diarrhea, dumping syndrome, and reflux esophagitis were compared (χ2 = 5.21, 5.22, 5.34, P < 0.05, with significant differences). Conclusion The modified jejunal replacement gastrectomy has fewer complications than total jejunal resection compared with the jejunum. The effect is significant.