CAJ | 학술논문

目的：比较改良胆管空肠攀式吻合术与传统的胆管空肠 Roux-en-Y 吻合术的临床效果。方法：随机选择需要行胆肠吻合的患者30例，并根据患者的意愿将患者分为实验组（改良的胆管空肠袢式吻合术组）17例，对照组（传统的 Roux-en-Y 胆管空肠吻合术组）13例。术后1周分别取两组患者胆支肠袢中的肠液进行细菌培养，测出细菌菌落的数量，并进行分析比较。结果：实验组肠袢中肠液的细菌菌落数量为：（4.58±1.50）×104·mL -1，对照组为（7.15±2.33）×104·mL -1，两组对比 P ﹤0.01，有显著性差异。结论：改良的胆管空肠襻式吻合术比传统的 Roux-en-Y 胆管空肠吻合术具有更好的临床效果，能减少患者的术后并发症，为改良的胆管空肠襻式吻合术在临床推广应用提供实验的理论依据。
목적：비교개량담관공장반식문합술여전통적담관공장 Roux-en-Y 문합술적림상효과。방법：수궤선택수요행담장문합적환자30례，병근거환자적의원장환자분위실험조（개량적담관공장번식문합술조）17례，대조조（전통적 Roux-en-Y 담관공장문합술조）13례。술후1주분별취량조환자담지장번중적장액진행세균배양，측출세균균락적수량，병진행분석비교。결과：실험조장번중장액적세균균락수량위：（4.58±1.50）×104·mL -1，대조조위（7.15±2.33）×104·mL -1，량조대비 P ﹤0.01，유현저성차이。결론：개량적담관공장반식문합술비전통적 Roux-en-Y 담관공장문합술구유경호적림상효과，능감소환자적술후병발증，위개량적담관공장반식문합술재림상추엄응용제공실험적이론의거。
Objective:To compare the clinical effect of improved bile duct jejunum anastomosis with traditional bile duct jejunum Roux-en-Y. Methods:Thirty patients who need intestinal anastomosis were selected randomly,and according to the wishes of patients were divided into the experimental group(the improved bile duct jejunum loop anastomosis group, 17 cases)and control group(traditional Roux-en-Y bile duct jejunum anastomosis group,13 cases). Intestinal juice in bowel loops was taken from the two groups respectively for bacterial culture. The number of bacterial colonies was meas-ured,compared and analyzed. Results:The number of bacterial colonies in intestinal juice in intestinal loops of experi-mental group was(4. 58 ± 1. 50)× 104 ·mL - 1 ,that of control group was(7. 15 ± 2. 33)× 104 ·mL - 1 . There was sig-nificant difference(P ﹤ 0. 01). Conclusions:Improved bile duct jejunum loop anastomosis has better clinical effect than traditional Roux-en-Y bile duct jejunum anastomosis. It can reduce the postoperative complications. It offers the theoretical basis for the application of the improved bile duct jejunum loop anastomosis in the clinical experiment.