【摘要】 目的比较改良襻式胆肠内引流术与胆肠Roux-en-Y内引流术的临床疗效。方法回顾性分析84例采用不同胆肠内引流者的临床资料。按随机分组原则行胆肠改良襻式内引流术39例和胆肠Roux-en-Y内引流术45例,并随访1～2年,比较两组的手术操作时间、减黄效果、术后肠道功能恢复时间、胆管炎发生率。结果两组具有相同的减黄效果。两组的手术吻合时间分别为(53±11.2)min和(72.4±9.5)min;术后肠道功能恢复时间分别为(79.2±4.4)h和(93±6.5)h;胆管炎发生率分别为5.1%和13.3%。改良袢式组各项指标优于Roux-en-Y组,均有统计学意义(均P<0.05)。结论改良襻式胆管-空肠内引流术的近期和长期疗效肯定,可作为胆肠内引流的首选手术方式。更多还原

【Abstract】 Objective To compare the therapeutic effects of modified loop choledochojejunostomy and the Roux-en-Y choledochojejunostomy. Methods Clinical data of 39 cases of modified loop choledochojejunostomy(ML) and 45 cases of Roux-en-Y choledochojejunostomy(R-Y) were analysed and compared,The patients of the 2 groups were followed-up for 1 to 2 years.The operation time,time to recovery of bowel function,serum level of total bilirubin and the morbidity of cholangitis between the 2 groups were compared. Results The postoperative serum level of total bilirubin decreased to the same level in both groups(P>0.05).Im ML grpup and R-Y group,the operation time were(53±11.2)min and(72.4±9.5)min,the time to recovery of bowel flatus(79.2±4.4)h and(93±6.5)h,and the morbidity of cholangitis were 5.1% and 13.3%,srespectiveely.The observed indexes in the ML group were statistically better than those in the R-Y group(P<0.05). Conclusions The short-term and long-term therapeutic effects of modified loop choledochojejunostomy are good;the modified operation can be the method of choice for choledochojejunostomy.更多还原