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目的总结胆管空肠桥式内引流治疗恶性胆道梗阻的临床疗效。方法回顾性分析58例行胆管空肠桥式内引流治疗恶性胆道梗阻患者的临床资料,观察术后反流性胆管炎、肛门恢复排气时间、胆漏、总胆红素下降等指标。结果术后反流性胆管炎发生率为8.6%,胆漏发生率为3.4%,术后第一天肛门恢复排气10.3%,术后2周总胆红素下降50%以上为93.1%。结论胆管空肠桥式内引流治疗恶性胆道梗阻的术后并发症少,胃肠功能恢复快,手术简单、安全、省时,值得选择应用。
Objective To summarize the clinical efficacy of bile duct jejunal bridge drainage in the treatment of malignant biliary obstruction. Methods A retrospective analysis of 58 cases of bile duct jejunal bridge drainage in the treatment of malignant biliary obstruction in patients with clinical data to observe the postoperative reflux cholangitis, anal exhaust time, bile leakage, total bilirubin and other indicators. Results The incidence of postoperative reflux cholangitis was 8.6%, the incidence of bile leakage was 3.4%. The anus recovery was 10.3% on the first postoperative day, and the percentage of total bilirubin decreased more than 50% after two weeks was 93.1%. Conclusion Bile duct jejunal bridge drainage in the treatment of malignant biliary obstruction postoperative complications, rapid recovery of gastrointestinal function, surgery is simple, safe, time-saving, it is worth to choose.