胆道疾病患者急诊外科手术治疗效果观察与探究  

Observation and Exploration on the Effect of Emergency Surgical Treatment of Patients with Biliary Diseases

作　　者：李安强 LI Anqiang(Department of Emergency Surgery,Chang'an Hospital,Dongguan,Guangdong 523843)

机构地区：[1]东莞市长安医院急诊外科,广东东莞523843

出　　处：《智慧健康》2022年第11期71-73,共3页Smart Healthcare

摘　　要：目的 探究胆道疾病患者采用急诊外科手术治疗的临床效果。方法 择取东莞市长安医院60例胆道疾病患者(2019年1月-2021年5月)进行分析,依据随机数字表法将患者分为对照组(胆道十二指肠吻合术治疗,n=30)与观察组(腹腔镜下胆道管空肠Roux-en-y吻合术治疗,n=30),观察两组机体恢复时间、并发症发生率、总有效率。结果 术后,观察组肠鸣音恢复时间、肛门首次排气时间、排便时间等少于对照组,数据差异明显(P <0.05);术后,观察组切口感染患者2例、腹腔出血1例、胆瘘0例,对照组切口感染3例、腹腔出血10例、胆瘘4例,两组切口感染、腹腔出血、胆瘘发生率对比显示观察组更低,数据差异明显(P <0.05)。治疗后,观察组患者显效20例、有效8例、无效2例,对照组患者显效9例、有效11例,无效10例,提示观察组总有效率(93.33%)明显高于对照组(66.67%),两组数据差异具有统计学意义(P <0.05)。结论 对胆道疾病患者采用胆道管空肠Roux-em-y吻合术治疗,较胆道十二指肠吻合术疗效显著,术后出血腹腔出血、胆瘘情况的患者更少,且术后机体恢复时间更短,可有效加快机体恢复,临床应用效果显著。Objective To explore the clinical effect of emergency surgery in patients with biliary diseases. Methods 60 patients with biliary tract diseases in our hospital(January 2019 to May 2021)were selected and analyzed. According to the random number table, the patients were divided into control group(biliary duodenal anastomosis, n =30) and observation group(laparoscopic Roux-en-Y cholangiojejunostomy, n =30). The recovery time, complication rate and total effective rate of the two groups were observed. Results After operation, the recovery time of bowel sounds, the first exhaust time of anus and defecation time in the observation group were less than those in the control group(P <0.05);After operation, there were 2 cases of incision infection, 1 case of abdominal bleeding and 0case of biliary fistula in the observation group and 3 cases of incision infection, 10 cases of abdominal bleeding and 4 cases of biliary fistula in the control group. The incidence of incision infection, abdominal bleeding and biliary fistula in the two groups was lower in the observation group(P < 0.05). After treatment, 20 cases were markedly effective, 8 cases were effective and 2 cases were ineffective in the observation group, 9 cases were markedly effective, 11 cases were effective and 10 cases were ineffective in the control group, suggesting that the total effective rate of the observation group(93.33%) was significantly higher than that of the control group(66.67%). The data difference between the two groups was statistically significant(P <0.05). Conclusion Roux-em-y cholangiojejunostomy is more effective in the treatment of patients with biliary diseases than cholangiojejunostomy. There are fewer patients with postoperative bleeding, abdominal bleeding and biliary fistula, and the postoperative recovery time is shorter, which can effectively accelerate the recovery of the body, and the clinical application effect is remarkable.

关 键 词：胆道疾病 胆道管空肠Roux-en-y吻合术 胆道十二指肠吻合术 并发症 总有效率 

分 类 号：R657.4[医药卫生—外科学]