不同消化道重建方案在胃癌手术患者中应用效果对比.docVIP

不同消化道重建方案在胃癌手术患者中应用效果的对比 　　[摘要] 目的 比较全胃切除术后功能性间置空肠代胃术（FJI）和Roux-en-Y术（PR）两种消化道重建方式术后疗效及生活质量影响。方法 纳入46例入住我院行胃癌全胃切除术患者作为研究对象，根据治疗方法分为两组，FJI组患者全胃切除术后行功能性间置空肠代胃重建术，PR组患者全胃切除术后行P型Roux-en-Y全胃切除空肠代胃术，比较两组患者疗效及机体应激反应，并随访6月比较两组患者生存质量。结果 FJI组患者手术时间、ALB水平明显高于PR组患者（P0.05）。FJI组患者发生反流性食管炎及倾倒综合征的例数明显低于PR组患者（P0.05）。FJI组患者躯体功能、心理功能、社会功能、共性症状与副作用（不良反应）及总体生活质量得分均高于PR组患者（P0.05）。结论 FJI消化道重建虽然延长了手术时间，但其并未增加机体应激反应，在降低术后并发症发生的同时，有效改善了患者的生活质量，提高了化疗耐受性。 　　[关键词] 全胃切除?g；功能性间置空肠代胃术；Roux-en-Y术；消化道重建；生活质量 　　[中图分类号] R655 [文献标识码] A [文章编号] 2095-0616（2017）16-210-03 　　Comparison of effect of different digestive tract reconstruction in patients with gastric cancer surgery 　　GAO Kefeng1 YANG Ning1 LI Xing2 　　1. Department of Thoracic Surgery，Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China； 2. General 2 Families， Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China 　　[Abstract] Objective To compare the effect and quality of life of the two types of digestive tract reconstruction after total gastrectomy （FJI） and roux-en-y （PR）. Methods In this study， 46 patients with total gastrectomy in our hospital were treated as subjects， and two groups were divided into two groups according to the treatment methods. The patients in FJI group with total gastrectomy were treated with gastric reconstructive surgery， the patients in PR group with total gastrectomy P Roux - en - Y excision jejunum. The efficacy of the two groups was compared with the body stress response， and the survival quality of the two groups was compared after six months. Results The ALB level was significantly higher in the FJI group than in the PR group （P 0.05）. The number of patients with reflux esophagitis and the dumping syndrome in the FJI group were significantly lower than those in the PR group（P0.05）. In the FJI group， the general symptoms and adverse effects （adverse reactions） and overall quality of life of the patients in the FJI group were higher than those in t