胆肠吻合术在恶性梗阻性黄疸治疗中的临床应用价值  

The Clinical Application Value of Biliary-Enteric Anastomosis in Treatment of Malignant Obstructive Jaundice

作　　者：乔广兵[1] 

机构地区：[1]遵化市人民医院肝胆外科,河北遵化064200

出　　处：《医学综述》2013年第6期1119-1120,共2页Medical Recapitulate

摘　　要：目的评价胆肠吻合术在恶性梗阻性黄疸治疗中的临床应用价值。方法选择遵化市人民医院2010年1月至2011年9月诊治的65例恶性梗阻性黄疸患者作为研究对象,并按照随机数字表法将其分为两组,采用传统Roux-en-Y胆肠吻合术治疗者为对照组(32例),采用改良Roux-en-Y胆肠吻合术治疗者为观察组(33例),观察两组手术方案的临床应用效果。结果观察组和对照组的总有效率分别为93.9%和87.5%,比较差异无统计学意义(P>0.05);观察组的术中吻合时间、肛门排气时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组并发症的发生率为3.0%,略低于对照组的9.4%,但差异无统计学意义(P>0.05)。结论改良Roux-en-Y胆肠吻合术在恶性梗阻性黄疸治疗中较传统Roux-en-Y胆肠吻合术的应用效果更佳,更有利于患者的术后恢复。Objective To explore the clinical application value of biliary-enteric anastomosis in the treatment of malignant obstructive jaundice.Methods From January 2010 to September 2011 in Zunhua People′s Hospital,65 patients with malignant obstructive jaundice were selected as the objects of study,32 cases treated with traditional Roux-en-Y biliary-enteric anastomosis as the control group,33 cases treated with modified Roux-en-Y biliary-enteric anastomosis as the observation group,the clinical effect of the two surgery programs were observed.Results The total effective rate of the observation group was 93.9%,and of the control group was 87.5%,there was no significant difference between the two groups（P0.05）;the intraoperative anastosis time,anal exhaust time and hospital stay of the observation group were significantly shorter than the control group,there were significant differences between the two groups（P0.05）;the complication rate of observation group was 3.0%,slightly lower than 9.4% of the control group,but there was no significant difference between the two groups（P0.05）.Conclusion The modified Roux-en-Y biliary-enteric anastomosis has better effect in the treatment of malignant obstructive jaundice,and is conducive to the rehabilitation of patients.

关 键 词：恶性梗阻性黄疸 胆肠吻合术 临床价值 

分 类 号：R657.4[医药卫生—外科学]