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

作　　者：乔立柱[1] 张学文[1] 姜涛[1] 季德刚[1] 杨永生[1] 王春艳[2] 何尔斯泰[1] 

机构地区：[1]吉林大学中日联谊医院肝胆外科,吉林长春130033 [2]吉林大学第一临床医院干部病房,吉林长春130021

出　　处：《中国实用外科杂志》2008年第1期47-49,共3页Chinese Journal of Practical Surgery

摘　　要：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-en-Y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 short-term 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 Roux-en-Y 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 Roux-en-Y choledochojejunostomy group and Roux-en- Y choledochojejunostomy group with no statistical differences. Conclusion The short-term therapeutic effects of the Uncut Roux-en-Y choledochojejunostomy is better than Roux-en-Y choledochojejunostomy,but the further therapeutic effect need more study.

关 键 词：胆肠吻合术 结扎空肠输入段Roux-en-Y吻合 

分 类 号：R6[医药卫生—外科学]