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结扎空肠输入段胆管空肠Roux-en-Y吻合术的临床应用
乔立柱a,张学文a,姜涛a,季德刚a,杨永生a,王春艳b,何尔斯泰a
中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (01) : 47-49.
PDF(2169 KB)
PDF(2169 KB)
结扎空肠输入段胆管空肠Roux-en-Y吻合术的临床应用
Comparative clinical research between the Uncut Roux-en-Y choledochojejunostomy and the Roux-en-Y choledochojejunostomy
目的:探讨结扎空肠输入段胆管空肠Roux-en-Y吻合术的近期临床疗效。方法:回顾分析吉林大学中日联谊医院2005年4月至2006年12月行结扎空肠输入段胆管空肠Roux-en-Y吻合术41例的临床资料,并与同期行胆管空肠Roux-en-Y吻合术48例进行比较。结果:结扎空肠输入段胆管空肠Roux-enY吻合组术中完成胆肠吻合的时间、术后肠道功能恢复时间、住院时间均短于胆管空肠Roux-en-Y吻合组,两种术式具有相同的减黄效果,住院期间并发症发生率差异无显著性意义。结论:结扎空肠输入段胆管空肠Roux-en-Y吻合术的近期疗效肯定,长期疗效仍须进一步观察。
Objective:To investigate the shortterm therapeutic effects of the Uncut Roux-en-Y choledochojejunostomy. Methods:To analyze a total of 41 cases of Uncut Roux-en-Y choledochojejunostomy and compare with 48 cases underwent RouxenY choledochojejunostomy from April 2005 to December 2006. Results:The anastomotic time of the Uncut Roux-en-Y choledochojejunostomy is shorter (P<0.05).The period of recovery of bowel sound and flatus are earlier in the patients with Uncut Roux-en-Y choledochojejunostomy than that with Roux-en-Y choledochojejunostomy (P<0.05).The serum level of total bilirubin decreases in both Uncut RouxenY choledochojejunostomy group and Roux-en-Y choledochojejunostomy group with no statistical differences. Conclusion:The shortterm therapeutic effects of the Uncut Roux-en-Y choledochojejunostomy is better than Roux-en-Y choledochojejunostomy,but the further therapeutic effect need more study.
choledochojejunostomy / Uncut Roux-en-Y choledochojejunostomy
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