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[胃切除并Roux吻合术]

[Resection of the stomach with Roux anastomosis].

作者信息

Kuzin N M, Vetshev P S, Maĭorova Iu B

出版信息

Khirurgiia (Mosk). 2006(3):4-10.

Abstract

Results of surgical treatment of patients with gastric ulcer and cancer of the stomach using resection of the stomach with Roux technique were analyzed. Acid-producing and evacuatory functions of the stomach were assessed in different periods after surgery. Dynamic scintigraphy provided evaluation of indices of duodenogastric reflux and state of gastric mucous barrier after various types of surgeries. Quality of life was studied late after surgery with original questionnaire. It is concluded that Roux resection of the stomach is not inferior to Bilrot-I resection by functional results, but it has advantages by quality life and rate of operated stomach diseases compared with Bilrot-I and Bilrot-II techniques.

摘要

分析了采用Roux技术行胃切除治疗胃溃疡和胃癌患者的手术治疗结果。评估了术后不同时期胃的产酸和排空功能。动态闪烁显像术用于评估各类手术后十二指肠胃反流指标和胃黏膜屏障状态。采用原始问卷对术后晚期的生活质量进行了研究。得出结论:Roux胃切除术在功能结果上不逊色于毕罗I式切除术,但与毕罗I式和毕罗II式技术相比,在生活质量和手术胃疾病发生率方面具有优势。

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