CAJ | 학술논문

目的:探讨空肠人工瓣膜形成术+常规胆肠Roux-en-Y的临床价值.方法:将我院2008年8月至2010年12月需行胆肠手术60例患者按照手术方法的不同分为观察组和对照组,对照组采用常规胆肠Roux-en-Y吻合术治疗,治疗组采用空肠人工瓣膜形成术+常规Roux-en-Y吻合术治疗,比较两组患者的临床疗效及术后并发症的情况.结果:术后肛门排气时间、胆红素下降时间、术后复发、再次手术率无显著性差异(P>0.05).观察组术后平均T管引流量、淀粉酶浓度、返流、胆道感染、吻合口瘘的发生率显著低于对照组(P<0.05).结论:空肠人工瓣膜形成术+常规Roux-en-Y吻合术可提高胆道手术的疗效,减少并发症的发生,值得临床推广.
목적:탐토공장인공판막형성술+상규담장Roux-en-Y적림상개치.방법:장아원2008년8월지2010년12월수행담장수술60례환자안조수술방법적불동분위관찰조화대조조,대조조채용상규담장Roux-en-Y문합술치료,치료조채용공장인공판막형성술+상규Roux-en-Y문합술치료,비교량조환자적림상료효급술후병발증적정황.결과:술후항문배기시간、담홍소하강시간、술후복발、재차수술솔무현저성차이(P>0.05).관찰조술후평균T관인류량、정분매농도、반류、담도감염、문합구루적발생솔현저저우대조조(P<0.05).결론:공장인공판막형성술+상규Roux-en-Y문합술가제고담도수술적료효,감소병발증적발생,치득림상추엄.
@@@@Objective: To study the jejunum gien artificial art+conventional bravery formed bowel Roux-en-Y clinical value. Methods:Will be our hospital from August 2008 to December do bowel surgery to bravery 60 patients with surgical method according to the different divided into the observation group and control group and control group in the routine bravery bowel Roux-en-Y anastomosis treatment, the treatment group was formed by the jejunum artificial ales+conventional Roux-en-Y anastomosis treatment, compared with two groups of patients with clinical curative effect and the postoperative complications. Results:After operation, the anus exhaust time, bilirubin decrease time, recurrent, reoperation rate has no significant difference (P>0.05). The observation group a mean of T tube lead flow, amylase concentration, reflux, biliary infections, and the incidence of anastomosis (significantly lower than in control group (P<0.05). Conclusion: The jejunum gien artificial art + conventional Roux formed-en-Y anastomosis can improve the curative effect of biliary surgery and reduce complications, and clinical promotion.