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目的评价袢式胆管-空肠端侧吻合术在恶性梗阻性黄疸治疗中的价值。方法将袢式胆管-空肠吻合术应用于18例恶性梗阻性黄疸患者,并与同期22例应用Roux-en-Y胆肠吻合术的患者进行比较,判定两种术式对减黄效果等的影响。结果与Roux-en-Y胆肠吻合术相比,袢式胆管-空肠吻合术患者血清总胆红素、胆系感染发病率和术后住院时间均明显下降(P<0.05)。两种术式术后患者生存率无差别(P>0.05)。结论袢式胆管-空肠端侧吻合术简单、安全、减黄效果好,可选作恶性梗阻型黄疸患者姑息治疗的方法。
Objective To evaluate the value of popliteal-jejunal end-to-side anastomosis in the treatment of malignant obstructive jaundice. Methods Bile duct-jejunostomy was applied to 18 patients with malignant obstructive jaundice and compared with 22 patients treated with Roux-en-Y cholangioenterostomy in the same period. influences. Results Compared with Roux-en-Y cholangiojejunostomy, the incidence of total bilirubin, gallbladder infection and postoperative hospital stay in patients with sigmoid choledochojejunostomy were significantly decreased (P <0.05). There was no difference in survival rate between the two surgical procedures (P> 0.05). Conclusion 袢 type bile duct - jejunal anastomosis is simple, safe, good effect of reducing the yellow, can be selected as a method of palliative treatment of patients with malignant obstructive jaundice.