摘要
目的评价改良胆管空肠襻式吻合治疗胆道梗阻的临床疗效。方法将92例胆道梗阻病例根据病种随机分为两组,治疗组手术方式采用改良胆管空肠襻式吻合,对照组手术方式采用胆管空肠Roux-en-Y吻合,观察术后反流性胆管炎、肛门恢复排气时间、胆漏、总胆红素下降指标及发生胆肠吻合口狭窄情况。结果术后并发症(反流性胆管炎、胆漏、胆肠吻合口狭窄)发生率对照组为21.7%,治疗组为8.7%,差异有统计学意义(P<0.05);术后第1天肛门恢复排气对照组为2.2%,治疗组为7.4%,差异有统计学意义(P<0.05);术后2周总胆红素下降50%以上对照组为82.6%,治疗组为91.3%,差异有统计学意义(P<0.05)。结论改良胆管空肠襻式吻合治疗胆道梗阻后术后并发症减少,胃肠功能恢复快,手术简单、省时,值得临床应用。
Objective To evaluate the bile duct jejunal loop to improve the treatment of biliary obstruction - type anastomosis clinical efficacy. Methods Ninety - two cases of biliary obstruction cases in accordance with disease were randomly divided into two groups, the treatment group improved surgical bile duct jejunal loop -type matched control group, the use of surgical bile duct jejunal Roux - en - Y anastomosis were observed after reflux cholangitis , the restoration of anal exhaust time, bile leakage, total bilirubin and the outbreak of declining indicators cholecystojejunostomy situation stenosis. Results The postoperative complications （reflux cholangitis, bile leakage, stenosis cholecystojejunostomy）, the incidence rate of 21.7% for the control group, treatment group was 8.7%, the difference was statistically significant （ P 〈 0.05） ; after operation the restoration of the day anal exhaust, 2. 2% for the control group, treatment group was 7. 4%, the difference was statistically significant （P 〈 0. 05） ; after two weeks of total bilirubin decreased by 50%, and 82.6% for the control group, treatment group for 91.3%, the difference was statistically significant （ P 〈0.05）. Conclusion The modified duct jejunal looptype line treatment of biliary obstruction to reduce post - operative complications, faster recovery of gastrointestinal function, the operation simple, timesaving, it is worth to choose the application.
出处
《临床医学》
CAS
2009年第4期8-10,共3页
Clinical Medicine
