CAJ | 학술논문

目的探求恶性胆道梗阻更安全简便的手术方法。方法我院设计采用胆管空肠搭桥术治疗不能行根治术的恶性胆道梗阻病人25例，并与同期外引流组12例和传统内引流20例比较。结果搭桥组及外引流组比内引流组术后黄疸消退快，搭桥组术后不带引流管，生存期生活质量较高，优于外引流组。结论认为胆管空肠搭桥术是一种简单，创伤小，安全性大的术式。
목적 탐구악성담도경조경안전간편적수술방법。 방법 아원설계채용담관공장탑교술치료불능행근치술적악성담도경조병인25례，병여동기외인류조12례화전통내인류20례비교。 결과 탑교조급외인류조비내인류조술후황달소퇴쾌，탑교조술후불대인류관，생존기생활질량교고，우우외인류조。 결론 인위담관공장탑교술시일충간단，창상소，안전성대적술식。
Objective To find out the safer and simpler operative method formalignant Biliary obstruction. Methods Biliary jejunal bridge internal drainage was used in 25 patients of malignant bile duct obstruction.The rapidity of subsidence of the jaundice and the survival rate were compared between bridge group and 12 cases treated by extenal drainage and 20 case treated by conventional internal drainage at the same period. Results Postoperatively,patients of the bridge group presented a more rapid decrease in the serum bilirulin eoncentration than those of the other two groups and had a good quality of life. Conclusion The present study demonstrated that the bridge internal drainage was a simple and safe surgical procedure without major postoperative events.