目的    介绍一种全胃切除术改良双贮袋Roux-en-Y吻合消化道重建方式，并与传统袢式吻合和Roux-en-Y吻合的中短期效果进行对比研究。 方法    2008年5月至2010年3月河南省肿瘤医院普外科将106例因胃癌行根治性全胃切除术病人，随机分为3组分别接受改良双贮袋Roux-en-Y吻合、袢式吻合和Roux-en-Y吻合3种空肠代胃手术方式。比较3组病人的手术时间、术后并发症、住院总费用和住院时间。并于术后1、6、12个月分别进行胃癌病人生活质量调查问卷（QLQ-STO 22）评分。 结果    改良双贮袋Roux-en-Y吻合在手术时间、术后并发症、住院总费用、住院时间等方面与其他两组比较差异无统计学意义。但生活质量评估（吞咽困难、疼痛、呃逆和饮食受限）明显优于其他两组。 结论    改良双贮袋Roux-en-Y吻合具有安全、术后生活质量高等优点。

Clinical effect research of modified double pouch Roux-en-Y reconstruction after radical total gastrectomy             ZHAO Yu-zhou，HAN Guang-sen，REN Ying-kun，et al. Henan Tumor Hospital，Zhengzhou 450003，China
Corresponding author：HAN Guang-sen，E-mail：hnhanguangsen@126.com
Abstract    Objective    To introduce a new method of reconstruction of the gastrointestinal tract in radical total gastrectomy, and compare the effects with loop and Roux-en-Y anastomosis. Methods    From May 2008 to March 2010, 106 patients who underwent radical total gastrectomy for gastric cancer in Department of General Surgery of Henan Tumor Hospital were randomly divided into 3 groups：Modified double pouch Roux-en-Y group, loop group and Roux-en-Y group. The operation time, postoperative complications, hospital expenses and hospital stay in the 3 groups were compared. The Quality of Life Questionnaire of Stomach 22 was analyzed in 1, 6 and 12 months after operation respectively. Results    There was no significant difference between modified double pouch Roux-en-Y group and other two groups in operation time, postoperative complication, hospital expenses and hospital stay. The modified double pouch Roux-en-Y group showed a better score in dysphagia, pain, hiccup and drink and food limitation than other two groups. Conclusion    The modified double pouch Roux-en-Y method is a safe method of reconstruction of the gastrointestinal tract and has a better quality of life.