[摘要] 目的 探讨改良残胃与空肠的吻合口，预防反流性胃炎。方法 回顾分析2002年3月～2006年3月收住院的78例消化道溃疡病患者，根据患者病变的部位、性质及程度，改良胃大部分切除术后吻合术式。一般取空肠配合肠襻20～40 cm与进行正中Roux-Y吻合，重建消化道。结果 术后经过随访3～12个月不等，同时进行胃镜观察、分析，本组病例对术后胃内食物的顺利缓慢进入肠道，防止逆道反流；又保持了胃内的生理环境，也有利于胃功能的早期恢复。所以，无反流性胃炎的发生。结论 经过临床分析，本术式无近期并发症，既解除溃疡术后残胃炎症状，又有效地预防反流性胃炎。

    [关键词] 改良吻合口;反流性胃炎;预防

    Modified gastrointestinal anastomoses for preventing reflux gastritis post gastrectomy

    CHEN Yong-jing,LIU Zhong-min,GAO Feng.The People’s Hospital of Longgang,Guangdong 518172,China

    [Abstract] Objective To explore a new procedure for preventing the occurrence of reflux gastritis after gastrectomy.Methods Modified operation was applied after subtetal gastrectomy in 78 cases of peptic ulcer.Results After 3~12 months follow-up, no reflux gastritis was seen in any patients after operation examined by gastroscopy.Conclusion There is no complication in short-term post operation, and modified operation could effectively eliminate the symptoms of residual gastritis, prevent the occurrence of reflux gastritis. ......