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目的探讨胃癌患者行根治性全胃切除空肠间置代胃术的临床疗效。方法研究组术后实施功能性空肠间置代胃术;对照组术后实施“P”型Roux-en-Y空肠间置代胃术。结果研究组患者术后Visick分级大多为I级(52.38%)与II级(33.33%),无IV级发生(0.00%),对照组患者术后Visick分级大多为III级(61.90%),且19.05%的患者甚至达到IV级;研究组并发症发生率显著低于对照组并发症发生率,两组患者并发症大多为反流性食管炎、恶心、呕吐、腹胀等,经临床干预后均有所好转或痊愈;研究组的临床疗效满意度高于对照组。结论胃癌患者行根治性全胃切除功能性空肠间置代胃术可显著提高患者术后生活质量,降低并发症发生率,具有较高的治疗安全性,患者对治疗满意度较高,有利于维持良好的医患关系,值得临床推广应用。
Objective To investigate the clinical efficacy of radical gastrectomy and jejunostomy in patients with gastric cancer. Methods The study group was performed functional jejunal interposition after surgery; control group was performed “P” Roux-en-Y jejunal interposition gastric bypass surgery. Results The Visick grading of the study group was mostly grade I (52.38%) and grade II (33.33%), with no grading of grade IV (0.00%). Visick grading in the control group was mostly grade III (61.90%), 19.05% of patients even reached level IV; the incidence of complications in the study group was significantly lower than the incidence of complications in the control group, most of the complications in both groups were reflux esophagitis, nausea, vomiting, bloating, etc., after clinical intervention Improved or healed; the clinical efficacy of the study group was higher than that of the control group. Conclusions The radical gastrectomy and functional jejunal replacement of gastric cancer patients with gastric cancer patients can significantly improve postoperative quality of life, reduce the incidence of complications, with high safety of treatment, patients with higher satisfaction with the treatment is conducive to To maintain a good doctor-patient relationship, it is worth clinical promotion and application.