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作者报告对78例全胃切除术患者,采用移植带蒂空肠浆肌片重建幽门括约肌及带蒂空肠段重建胃的新术式。经临床观察及定期随访,术后返流性食管炎的发病率为1.3%,胆石症的发病率9.8%,无一例患者出现倾倒综合征。患者术后生活质量优良率为91.1%。本组临床研究显示该术式可让食物经过十二指肠,使之得以维持正常生理通道,明显降低了全胃切除术后返流性食管炎和胆石症的发生率,预防了倾倒综合征的发生,显著提高了患者术后的生活质量,值得推广应用。
The authors report on 78 patients with total gastrectomy, the use of transplanted pedicle jejunum pulp reconstruction pyloric sphincter and pedicle jejunal reconstruction of the new stomach. After clinical observation and regular follow-up, the incidence of reflux esophagitis was 1.3% and the incidence of cholelithiasis was 9.8%. None of the patients had dumping syndrome. The patient’s postoperative quality of life was 91.1%. This group of clinical studies have shown that the technique allows the food through the duodenum, so that it can maintain normal physiological pathway, significantly reducing the incidence of reflux esophagitis and cholelithiasis after total gastrectomy to prevent dumping syndrome The occurrence of postoperative patients significantly improved the quality of life, it is worth promoting the application.