摘要
目的:探讨不同消化道重建方式对胃癌根治术患者术后并发症及胆囊收缩功能的影响。方法:选择2014年1月至2017年2月收治的74例行胃癌根治术患者为研究对象,随机分为B-Ⅱ组和双通道重建两组,每组37例患者,B-Ⅱ组患者进行Billroth-Ⅱ式重建,双通道重建组患者进行调节型双通道重建,对两组患者术后并发症及胆囊收缩功能进行观察。结果:B-Ⅱ组患者术后并发症发生率为21.62%,高于双通道重建组的5.41%(P<0.05);B-Ⅱ组患者术后胆囊排空率下降,胆囊容积、血清CCK水平较术前上升(P<0.05),双通道重建组患者术后胆囊容积、血清CCK与术前比较,差异无统计学意义(P>0.05),胆囊排空率增高(P<0.05)。结论:胃癌根治术中应用调节型双通道重建能减少术后并发症发生率,也能促进术后胆囊收缩功能恢复,值得临床推广。
Objective:To explore the influence of different digestive tract reconstruction methods in radical resection of gastric cancer on postoperative complications and gallbladder contraction function.Methods:74 patients with gastric cancer hospitalized from January 2014 to February 2017 were chosen and randomly divided into the B-Ⅱgroup and the two-channel reconstruction group,with 37 patients in each group.The B-Ⅱgroup underwent Billroth II reconstruction,while the two-channel reconstruction group underwent double channel reconstruction,the complications and gallbladder contraction function after operation observed.Results:The complication rate after the operation in the B-Ⅱgroup was 21.62%,which was significantly higher than that in the two-channel reconstruction group(5.41%)(P<0.05);After operation,the gallbladder emptying rate was decreased,the gallbladder volume and the level of serum CCK were higher than those before operation(P<0.05);there was no difference in the gallbladder volume and the serum CCK after operation in the two-channel reconstruction group(P>0.05),but the gallbladder emptying rate was increased(P<0.05).Conclusion:The double channel reconstruction in radical resection of gastric cancer can reduce the incidence of postoperative complications and promote the recovery of gallbladder contraction function,worthy of clinical promotion.
作者
李杰
熊瑞
肖达
LI Jie;XIONG Rui;XIAO Da(Department of General Surgery,Shekou People's Hospital,Nanshan District,Guangdong,Shenzhen 518067,China)
出处
《包头医学院学报》
CAS
2018年第7期36-37,53,共3页
Journal of Baotou Medical College
关键词
消化道重建
胃癌根治术
胆囊收缩功能
并发症
Digestive tract reconstruction
Radical resection of gastric cancer
gallbladder contraction function
Complication
