医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2014年
19期
2529-2530,2550
,共3页
蔡军%张彤%王翔%章应峰%孙仁海
蔡軍%張彤%王翔%章應峰%孫仁海
채군%장동%왕상%장응봉%손인해
T型管支撑%胆肠吻合术%胆漏%胆肠吻合口狭窄
T型管支撐%膽腸吻閤術%膽漏%膽腸吻閤口狹窄
T형관지탱%담장문합술%담루%담장문합구협착
T-tube stent%Choledochojejunostomy%Bile leakage%Anastomotic stricture
目的:探讨一种T型管支撑法在胆肠吻合术中的价值。方法:回顾性分析41例胆肠吻合术患者的临床资料。按随机分组原则分成T型管支撑胆肠吻合口组(研究组)及直接胆肠吻合组(对照组)两组,并随访1~2年,比较两组的减黄效果、胆漏及胆肠吻合口狭窄的发生率。结果:两组具有相同的减黄效果;术后胆漏发生率研究组明显低于对照组;术后第1年随访研究组胆肠吻合口狭窄率低于对照组(P<0.05),第2年随访两组无明显统计学意义(0.1> P>0.05)。结论:T型管支撑胆肠吻合口法能有效预防胆肠吻合术早期胆漏的发生,对远期胆肠吻合口狭窄的预防尚缺乏证据。
目的:探討一種T型管支撐法在膽腸吻閤術中的價值。方法:迴顧性分析41例膽腸吻閤術患者的臨床資料。按隨機分組原則分成T型管支撐膽腸吻閤口組(研究組)及直接膽腸吻閤組(對照組)兩組,併隨訪1~2年,比較兩組的減黃效果、膽漏及膽腸吻閤口狹窄的髮生率。結果:兩組具有相同的減黃效果;術後膽漏髮生率研究組明顯低于對照組;術後第1年隨訪研究組膽腸吻閤口狹窄率低于對照組(P<0.05),第2年隨訪兩組無明顯統計學意義(0.1> P>0.05)。結論:T型管支撐膽腸吻閤口法能有效預防膽腸吻閤術早期膽漏的髮生,對遠期膽腸吻閤口狹窄的預防尚缺乏證據。
목적:탐토일충T형관지탱법재담장문합술중적개치。방법:회고성분석41례담장문합술환자적림상자료。안수궤분조원칙분성T형관지탱담장문합구조(연구조)급직접담장문합조(대조조)량조,병수방1~2년,비교량조적감황효과、담루급담장문합구협착적발생솔。결과:량조구유상동적감황효과;술후담루발생솔연구조명현저우대조조;술후제1년수방연구조담장문합구협착솔저우대조조(P<0.05),제2년수방량조무명현통계학의의(0.1> P>0.05)。결론:T형관지탱담장문합구법능유효예방담장문합술조기담루적발생,대원기담장문합구협착적예방상결핍증거。
Objective:To investigate the value of a T-tube stent method in choledochojejunostomy .Methods:Clinical data of 19 cases of T-tube stent choledochojejunostomy(study group) and 22 cases of choledochojejunostomy without T-tube stent(control group) were analysed and compared ,the patients of the 2 groups were followed-up for 1 to 2 years .The serum level of total bilirubin and the morbidity of Bile leakage and anastomotic stricture 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) .About the morbidity of Bile leakage ,study group was significantly lower than the control group (P<0 .05) .After the first year of follow-up ,about the morbidity of anastomotic stricture ,study group was significantly lower than the control group (P<0 .05) ,After the second year of follow-up ,there was no statistically significant be-tween study group and control group(0 .1> P>0 .05) .Conclusion:T-tube stent method anastomotic method can effec-tively prevent choledochojejunostomy early bile leakage ,anastomotic stricture of long-term prevention lack of evidence .