人工乳头在胆肠吻合术中应用的动物实验研究  

Effectiveness of artificial papillary in choledochojejunostomy

作　　者：孙铁为 韩德恩[1] 王志春[2] 吴克非[3] 

机构地区：[1]哈尔滨医科大学第二临床医学院普外一科,黑龙江哈尔滨150086 [2]哈尔滨医科大学第二临床医学院同位素科,黑龙江哈尔滨150086 [3]哈尔滨医科大学第二临床医学院病理科,黑龙江哈尔滨150086

出　　处：《哈尔滨医科大学学报》2003年第1期41-43,共3页Journal of Harbin Medical University

摘　　要：目的　探讨改良的Roux y胆肠吻合术的抗返流作用及临床应用。方法　选用本地白猪 18头 ,随机分两组 ,行胆肠Roux y吻合术 ,其中一组加用人工乳头 ,并缩短上行肠袢至 12cm。结果　术后 1个月行放射性核素99mTc DTPA抗返流测定及胆囊的病理学检查 ,人工乳头组和对照组有显著性差异。结论　改良的胆肠Roux y吻合加人工乳头具有明显抗返流作用 。Objective To create an artificial papillary formation on free jejunal loop to prevent intestinal reflex after choledochojejunostomy.Methods Eighteen small healthy domestic pigs were used in the study. Eighteen pigs of Roux y choledochojejunostomy were divided into artificial papillary formation and no artificial papillary formation groups. Intestinal continuity was established with jejunojejunostomy about 12cm forming the choledochojejunostomy.Results We created an artificial papillary on the free jejunal loop in the modified. 99m Tc DTPA and pathology were examined 20 days after operation and there were significant differences between artificial papillary group and control group. Conclusion The modified technique is useful to prevent intestinal reflex after choledochojejunostomy.

关 键 词：Roux-y胆肠吻合术 抗返流作用 动物实验 人工乳头 上行肠袢 

分 类 号：R656[医药卫生—外科学]