游离空肠袢修复犬肝门部胆管狭窄  被引量:1

Study on treatment of hilar bile duct structure using separated jejunum segment in dogs

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作  者:牛跃平[1] 徐智[2] 李东庄[2] 赵蕊[2] 周孝思[2] 

机构地区:[1]郑州大学第二附属医院普外科,郑州450014 [2]北京大学第三附属医院普外科,北京100083

出  处:《郑州大学学报(医学版)》2005年第3期461-464,共4页Journal of Zhengzhou University(Medical Sciences)

基  金:美国中华医学基金会资助项目00018

摘  要:目的:探讨游离空肠袢修复肝门部胆管狭窄的效果。方法:12只成年犬随机分为游离空肠盲袢胆囊吻合组(IL组,n=7)和胆囊空肠盲袢型RouxenY吻合组(RL组,n=5)。IL组行游离空肠盲袢胆囊吻合,RL组行胆囊空肠盲袢型RouxenY吻合。术后通过99mTcEHIDA肝胆动态扫描、返流及胆管成石情况观察、胆汁细菌培养、肝脏病理学检查了解该术式的可行性和优越性。结果:术后2组肝脏排泌功能、盲袢排空功能相互比较及与术前比较,差异均无统计学意义(P>0.05);防止返流及逆行感染IL组优于RL组。结论:本术式效果可靠且在预防返流及逆行感染方面优于盲袢型胆肠RouxenY吻合术。Aim: To investigate the effect of seperated blind jejunum segment in the treatment of hilar bile duct structure in dogs. Methods: A total of 12 dogs were separated randomly into jejunum-gallbladder anastomosis group(IL group,n=7), and jejunum-gallbladder Roux-en-Y anastomosis group(RL group,n=5) as control.Dynamic 99mTc-EHIDA hepato-billiary scan, bile culture, physiological examination of hepatic tissue, and study of reflux situation were used to evaluate IL method. Results: Excreting function and bile cleaning time showed no difference between the two groups (P> 0.05). The rate of cholangitis in IL group was lower than that in RL group. Conclusion: Blind jejunum-gallbladder anastomosis is a viable method and is better than the traditional jejunum-gallbladder Roux-en-Y anastomosis.

关 键 词:游离空肠袢 胆道狭窄 ^99mTc—EHIDA  

分 类 号:R657.4[医药卫生—外科学]

 

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