胃大部切除术毕Ⅱ式吻合后吻合口炎症及溃疡发生率的研究

Objective To explore the incidence of anastomotic inflammation and ulcer after Billroth II anastomosis in subtotal gastrectomy. Methods 80 patients with gastric cancer and peptic ulcer who underwent laparoscopic distal subtotal gastrectomy from January 2021 to June 2024 were randomly divided into two groups, with 40 patients in each group. The control group underwent Billroth I anastomosis, while the observation group underwent Billroth II anastomosis. Compared the therapeutic effects of two groups. Results The operation index of the observation group was better than that of the control group (P＜0.05). The postoperative visual analogue scale (VAS) score of the observation group was lower than that of the control group (P＜0.05). Half a year after operation, the incidence of complications in the two groups was compared, and the difference was not statistically significant (P＞0.05). After operation, the quality of life scale (QLQ-C30) score of the observation group was higher than that of the control group (P＜0.05). Conclusion Compared with the Billroth Ⅰ anastomosis, the use of Billroth II anastomosis in laparoscopic distal subtotal gastrectomy has demonstrated safety and feasibility in the treatment of gastric cancer and peptic ulcers. This method can reduce the amount of bleeding in patients, accelerate the rehabilitation process, alleviate postoperative wound pain, and does not increase the risk of complications, which helps to improve the quality of life of patients. Therefore, it is considered a safe, effective, and beneficial surgical option for gastrointestinal reconstruction.