论文部分内容阅读
目的:讨论保留幽门和迷走神经的胃部分切除术,在治疗早期胃癌中临床效果。方法:收集我院普通外科2013年6月到2014年6月所收治的胃癌早期患者72例,将其随机分为观察组和对照组各36例。观察组行保留迷走神经和幽门的胃部分切除手术。对照组行远端胃切除术。结果:观察组在进行手术之后的15,30,60 min时间段中的胃排空功能与对照组有明显差异(P<0.05)。对照组胆囊的收缩功能在60 min后才效果明显。15 min与30 min两组的比较中,差异无统计学意义(P>0.05)。两组患者在远期疗效中,差异无统计学意义(P>0.05)。结论:经过胃部分切除术的治疗,两组患者胃排空和胆囊收缩功能均得到有效改善,且术后BMI指数显著提升,不仅提高患者的治愈率,还提高患者的生活质量,值得在临床大力推广。
OBJECTIVE: To discuss the partial gastrectomy for preserving pyloric and vagal nerve in the treatment of early gastric cancer. Methods: Seventy-two patients with early gastric cancer who were admitted to our hospital from June 2013 to June 2014 were randomly divided into observation group (36 cases) and control group (36 cases). The observation group retained the vaginal and pyloric partial gastric resection. The control group underwent distal gastrectomy. Results: The gastric emptying function in observation group at 15, 30, 60 min after operation was significantly different from that in control group (P <0.05). In the control group, the systolic function of gallbladder was effective at 60 min. There was no significant difference between the two groups at 15 min and 30 min (P> 0.05). The two groups of patients in the long-term efficacy, the difference was not statistically significant (P> 0.05). Conclusions: After partial gastrectomy, gastric emptying and gallbladder contractility have been effectively improved in both groups, and the postoperative BMI index increased significantly, which not only improves the cure rate of patients but also improves the quality of life of patients, which is worth clinical Promote.