CAJ | 학술논문

目的：对比术后胆管狭窄修复术的疗效。方法选择2013年1月～2014年9月以来我院接收的36例Ⅰ期至Ⅳ期胆管狭窄患者，分为两组。甲组应用带蒂空肠瓣修复术治疗，乙组应用胆管-空肠 Roux-Y 吻合术治疗，对比两组治疗效果。结果两组治疗效果相同无并发症。但甲组出血量多，住院时间长。远期疗效对比一致。结论带蒂空肠瓣修复术治疗疗效与胆管-空肠 Roux-Y 吻合术疗治疗疗效相同，但胆管-空肠 Roux-Y 吻合术治疗能够减少患者痛苦，缩短住院时间。
목적：대비술후담관협착수복술적료효。방법선택2013년1월～2014년9월이래아원접수적36례Ⅰ기지Ⅳ기담관협착환자，분위량조。갑조응용대체공장판수복술치료，을조응용담관-공장 Roux-Y 문합술치료，대비량조치료효과。결과량조치료효과상동무병발증。단갑조출혈량다，주원시간장。원기료효대비일치。결론대체공장판수복술치료료효여담관-공장 Roux-Y 문합술료치료료효상동，단담관-공장 Roux-Y 문합술치료능구감소환자통고，축단주원시간。
Objective Surgical treatment efficacy of postoperative biliary stricture repair is to be compared. Methods Chose 36 patients of stage Ⅰ to stage Ⅳbiliary stricture who were treated in hospital from January 2013 to september 2014 and separated them into group A and group B. Patients in group A were given jejunal pedicle flap surgery treatment, while patients in group B were given bile duct-jejunum Roux-Y anastomosis treatment, and then observed and compared the treatment efficacy of the two groups. Results The treatment efficacy of the two groups was identical and there was no complication occurrence. But, patients’hemorrhage as wel as their hospitalization days in group A was much more than patients in group B. The long-term efficacy was consistent between two groups. Conclusion Jejunal pedicle flap surgery treatment and bile duct-jejunum Roux-Y anastomosis treatment are identical in terms of treatment efficacy; however, bile-duct jejunum Roux-Y anastomosis treatment is more conducive to reducing patients’pain and shortening hospitalization days.