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目的探讨保留幽门胃切除术(PPG)治疗早期胃癌的效果。方法 22例PPG手术的临床资料。22例均为早期胃癌,病灶位于胃的中1/3者16例,胃下1/3者6例,离幽门均在5 cm以上,均行PPG。结果全组患者术后住院期间无餐后消化道不适症状出现;有饥饿感者20例(90.91%)。随访期间有2例出现餐后消化道不适症状,其中1例是上腹饱胀隐痛,另1例是呕吐;有饥饿感的是18例(81.82%)。结论胃中部早期胃癌患者采用PPG手术,既能达到理想的根治效果,又能满意地保存了幽门功能,有利于患者的康复。
Objective To investigate the effect of preserving pyloric gastrectomy (PPG) in the treatment of early gastric cancer. Methods 22 cases of PPG surgery clinical data. Twenty-two cases were early stage gastric cancer. The lesions were located in 1/3 of the stomach in 16 cases, 1/3 in the stomach and 6 cases in the stomach, and more than 5 cm away from the pylorus. They all performed PPG. Results All the patients showed no symptoms of postprandial gastrointestinal discomfort during hospitalization. There were 20 cases with hunger (90.91%). During the follow-up period, 2 patients had symptoms of postprandial digestive tract discomfort, including 1 case of upper abdominal pain and vomiting, and 18 cases (81.82%) having hunger. Conclusion PPG surgery in patients with early gastric cancer in the stomach can not only achieve the desired radical effect, but also save the pylorus function satisfactorily and be beneficial to the patients’ recovery.