胆总管十二指肠T型吻合术治疗胆总管下端梗阻的临床研究  

Clinical research of T type anastomosis of common bile duct and duodenum in treatment of obstruction of common bile duct

作　　者：杨明利[1] 阮军[1] 毛红红 王志民[1] 董军[1] 

机构地区：[1]济南市长清区人民医院外科,山东济南250300

出　　处：《肿瘤防治杂志》2005年第5期373-375,共3页China Journal of Cancer Prevention and Treatment

摘　　要：目的:比较研究胆总管十二指肠“T”型吻合术对预防吻合口狭窄、抗返流的价值。方法:对126 例胆总管下端梗阻患者施行不同术式的手术治疗,其中接受胆总管十二指肠“T”型吻合术63 例,胆总管空肠Roux en Y吻合46 例,传统胆总管十二指肠吻合17 例。结果:胆总管十二指肠“T”型吻合术疗效优秀率为68 .9% ( 42/61 ), 良好率为29 .5%(18/61);胆总管空肠Roux en Y 吻合优秀率为53 .3%(24/45),良好率为35.6%(16/45);传统胆总管十二指肠吻合术优秀率为33 .3% (5/15),良好率为33. 3%(5/15)。前者与后两者比较差异有统计学意义, P< 0. 01。结论:胆总管十二指肠“T”型吻合术是生理干扰小、简单易行、安全有效的内引流术式,可有效地防止吻合口狭窄及肠内容物的返流。OBJECTIVE:To approachtunt the “T” type anastomosis of commen bile duct preventing the interface from being stenosis and hold up the return contents in duodenum. METHODS:A total of 126 patients were operated in different ways for the obstruction of the commen bile duct. The “T” type anastomosis of bile duct and duodenum was adoped to 63 patients. The “Roux-en-Y” anastomisis was operated on 46 patients, the conventional anastomisis was performed to 17 patients. RESULTS:The superiority rate of the “T” type anastomosis of bile duct and duodenum was 68.9%(42/61) and the good rate 29.5%(18/61); the superiority rate of the “Roux-en-Y” anastomisis was 53.3%(24/45) and the good rate 35.6%(16/45); the superiority rate of the conventional anastomsis was 33.3%(5/15), and the good rate 33.3%(5/15). The “T” type anastomosis of bile duct and duodenum had a significant difference compared with the others, P<0.01. CONCLUSIONS:In conclusion, the “T” anastomosis is an interior drainage operation for physiology interference being little, easy, safty and reliability; and it can prevent the interface from being stenosis and hold up the return contents in duodenum effectually.

关 键 词：胆总管/外科学 十二指肠/外科学 吻合术 外科/方法 

分 类 号：R657.46[医药卫生—外科学]