改良胃空肠Roux―en―Y吻合术在胃肠手术中的应用.docVIP

改良胃空肠Roux―en―Y吻合术在胃肠手术中的应用 　　[摘要] 目的 探讨改良胃空肠Roux-en-Y吻合术在胃肠手术中的应用价值。 方法 回顾性分析我院2011年1月～2015年1月期间收治的胃肠道疾病患者共58例，其中行改良胃空肠Roux-en-Y吻合术治疗的患者37例（观察组），行标准胃空肠Roux-en-Y吻合术治疗的患者21例（对照组）。比较两组患者的围术期指标，术后并发症发生率及术后生活质量评分情况。 结果 观察组患者平均手术时间短于对照组[（271.42±24.47）min vs （362.39±41.28）min]，术中平均出血量少于对照组[（281.29±38.21）ml vs （393.31±37.86）ml]，术后并发症发生率低于对照组，术后生活质量评分高于对照组（P0.05）。 结论 胃肠疾病患者采用改良胃空肠Roux-en-Y吻合术治疗，提高了手术治疗的安全性和可靠性，改善了患者术后的生活质量，值得临床进一步推广应用。 　　[关键词] 胃空肠Roux-en-Y吻合术；改良；胃肠手术 　　[中图分类号] R656.6 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0023-03 　　[Abstract] Objective To explore the application value of improved gastric jejunum Roux-en-Y anastomosis in gastrointestinal surgery. Methods 58 gastrointestinal illness patients from January 2011 to January 2015 of our hospital were retrospectively analyzed.37 cases in observation group were given improved gastric jejunum Roux-en-Y anastomosis and 21 cases in control group were given standard jejunum Roux-en-Y stomach anastomosis.Perioperative indicators，incidence rate of postoperative complications and postoperative life quality score in two groups were compared. Results The average operation time in observation group was less than that in control group [（271.42±24.47） min vs （362.39±41.28） min]，the average bleeding during operation was less than that in control group [（281.29±38.21） ml vs （393.31±37.86） ml]，the incidence rate of postoperative complications in observation group was obvious lower than that in control group，while the postoperative life quality score was obvious higher than that in control group （P0.05）. Conclusion Using improved gastric jejunum Roux-en-Y anastomosis for gastrointestinal illness patients can enhance the safety and reliability of surgery，improve postoperative life quality of patients and is worth to further popularize and use in clinical. 　　[Key words] Gastric jejunum Roux-en-Y anastomosis；Improved；Gastrointestinal surgery 　　胃肠疾病是临床常见的多发病，近年来胃肠疾病发病率呈逐年升高趋势。对于严重的胃肠道溃疡、肿瘤等疾病，临床上往往需给予手术治疗。近年来，医疗技术、手段迅速发展，胃空肠Rou