| 黄 灵,王新保,余齐鸣.连续顺蠕动空肠间置在近端胃切除消化道重建中的应用[J].肿瘤学杂志,2015,21(5):401-404. |
| 连续顺蠕动空肠间置在近端胃切除消化道重建中的应用 |
| Application of Continuous Iso-peristaltic Anastomosis with Jejunal Interposition in Digestive Tract Reconstruction After Proximal Gastrectomy |
| 投稿时间：2015-01-22 |
| DOI：10.11735/j.issn.1671-170X.2015.05.B011 |
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| 中文关键词: 胃切除术 吻合术，外科 消化道重建 |
| 英文关键词:gastrectomy anastomosis,surgery digestive tract reconstruction |
| 基金项目:浙江省医药卫生科技计划项目（2009A029） |
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| 摘要点击次数: 1719 |
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| 中文摘要: |
| 摘 要：［目的］ 探讨连续顺蠕动空肠间置在近端胃切除术后消化道重建中的价值。［方法］对22例患者进行近端胃切除、连续顺蠕动空肠间置吻合消化道重建，术后随访至6个月。［结果］ 所有患者均顺利完成连续顺蠕动空肠间置重建，术后病理切缘阴性，术后近期未出现出血、吻合口瘘等吻合直接相关并发症，但存在1例吻合口狭窄伴胸腹腔积液，1例胃瘫，经对症处理后好转。远期随访仅1例患者因结扎线脱落导致较严重的反流性食管炎，1例患者因肿瘤进展出现肠梗阻，其余患者均饮食良好，体重恢复，胃肠造影、胃镜等基本正常。［结论］ 连续顺蠕动间置空肠吻合简便、牢靠，近期、远期并发症少，有利于生活质量恢复，具有在临床推广的价值。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the value of continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction after proximal gastrectomy.［Methods］ Twenty-two cases undergoing continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction after proximal gastrectomy were followed up for 6 months after surgery. ［Results］ All patients successfully completed continuous iso-peristaltic digestive tract reconstruction with jejunal interposition，with pathological negative margins，without early postoperative complications related to anastomosis，such as bleeding or anastomotic leakage. But 1 case presented anastomotic stenosis and abdominal effusion； 1 case，gastroplegia；both of them recovered after symptomatic treatment. In long-term follow-up，1 case presented severe reflux esophagitis due to loose ligature； 1 case，intestinal obstruction due to tumor progression，while the remaining patients were having well diet and appetite，regaining weight recovered，and normal in gastrointestinal imaging and endoscopy examination.［Conclusion］ Continuous iso-peristaltic anastomosis with jejunal interposition in digestive tract reconstruction is simple，reliable，with less early or late complications. It does make for recovery of quality of life，with the value of clinical promotion. |
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