T管套U管治疗不能手术切除的肝门部胆管癌  

A T Tube Sheathed U Tube Approach for Unresectable HilarCholangiocarcinoma

作　　者：甄宇洋[1] 梁力建[2] 马驰[1] 苏才坤[1] 汤地[2] 邓量[1] 曾汉[1] 邓立文[1] 

机构地区：[1]中山大学附属第一医院黄埔院区普外科,广东广州510700 [2]中山大学附属第一医院肝胆外科,广东广州510700

出　　处：《中山大学学报（医学科学版）》2003年第4期395-397,共3页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：中山医科大学科研基金(2001003)

摘　　要：[目的]探讨用一简便、有效、并发症相对少的方法治疗不能手术切除的肝门部胆管癌。[方法]采用自行设计的T管套U管的引流方法治疗不能手术切除的肝门部胆管癌24例,与同期我们用传统的胆肠吻合+U管引流的方法治疗41例相比较。[结果]T管套U管组手术时间为45min、手术并发症有3例(12.5％)、术后胆道感染3例(12.5％)。吻合组手术时间为145min,手术并发症有17例(41％),术后胆道感染16例(39％)。该3项指标前者明显优于后者。手术后退黄、手术死亡、中位生存期两组无明显差异。[结论]T管套U管手术引流治疗不能手术切除的肝门部胆管癌,手术简单,手术后并发症少,术后胆道感染机会低。[ Objective ] To evaluate the effectiveness of T-tube sheathed U-tube approach for unre-sectable hilar cholangiocarcinoma. [Methods] T-tube sheathed U-tube for unresectable hilar cholan-giocarcinoma were employed in 24 cases form 1991 to 2001. The clinical data were collected and compared with 41 cases of traditional T-tube drainage plus bilio-jejunal anastomosis. [Results] Compared with the group of tranditional anastomosis , patients in the group of T-tube sheathed U-tube had significant shorter mean operation time(45 min vs 145 min, P < 0. 05), decreased morbidility rate (12. 5% vs 41%, P < 0. 05) and fewer chances of postoperative biliary tract infection (12. 5% vs 39%, P < 0. 05). However, there were no signicant differences between these two groups in mortality rate(4. 2% vs 9.8% , P> 0. 05) and survival time(8 months vs 7.2 months, P> 0. 05) . [Conclusion] T-tube sheathed U-tube approach for unresectable hilar cholangiocarcinoma is a simple procesure, with decreased morbidity and fewer chances of postoperative biliary tract infection.

关 键 词：肝门部胆管癌 T管 U管 引流手术 术后胆道感染 

分 类 号：R735.8[医药卫生—肿瘤]