Objective To investigate the modified Billroth IT' s advantages to decrease the incidence rate of postoperative complications comparing with traditional Billroth Ⅱ. Methods We retrospectively studied the patients with gastroduodenal ulcer or gastric cancer who were treated and received Billroth Ⅱ surgery in the first people' s hospital of Guangyuan city during January 1998 to December 2010. Results Compared with traditional Billroth Ⅱ, the modified Billroth II remarkably decreased the incidence rate of postoperative complications including delayed gastric emptying, Anastomotic fistula, duodenal stump leakage, Afferent Loop Syndrome, efferent loop obstruction, alkaline reflux gastritis, recurrent ulcer(P <0.05). Conclusions Compared with traditional Billroth Ⅱ, the modified Billroth Ⅱ remarkably decreased the incidence rate of postoperative complications, and should be a reliable operation method to treat the gastroduodenal ulcer and gastric cancer.%目的 探讨与传统毕II式相比,改进毕II式对降低术后并发症发生率的优势.方法 回顾性分析比较190例接受改进毕II式和181例接受传统毕II式手术的胃十二指肠溃疡及胃癌病例资料.结果 与传统毕II式相比,改进毕II式显著降低了胃排空障碍、吻合口破裂或瘘、十二指肠残端瘘、输入襻综合征、输出襻梗阻、碱性反流性胃炎、溃疡复发、腹泻等并发症的发生率(P<0.05).结论 与传统毕II式相比,改进毕II式对降低术后并发症效果明显,是治疗胃十二指肠溃疡及胃癌的可靠术式之一.
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