临床小儿外科杂志Issue(1)：26-28,3.DOI:10.3969/j.issn.1671-6353.2016.01.008
改良胆肠袢式吻合术治疗小儿胆管扩张症的疗效分析
The therapeutic effects of modified loop-type (Warren)biliary-enteric anastomosis for children with biliary tract dilatation
樊剑锋 1石英佐 1朱晓敏 1浦晓 1王达丰 1宣晓琪 1程明1
作者信息
- 1. 江苏省无锡市儿童医院儿外科 江苏省无锡 市，214023
- 折叠
摘要
Abstract
Objetive To explore the clinical efficacy of a modified biliary-enteric loop type (Warren) anastomosis in treating biliary tract dilatation in children.Methods A retrospective analysis was made on 44 cases of biliary tract dilatation in children underwent surgery from Jan.2010 to Sep.2013.Methods loop-type biliary-enteric anastomosis were performed in 20 cases (test group)and biliary-enteric Roux-en-Y anastomosis in 24 cases (control group).The operation time for biliary-enteric anastomosis,patients'recovery time,liver function and postoperative complications between the 2 groups were compared.Results Operation time for bil-iary-enteric anastomosis and patients'recovery time were (63 ±11 min)and (21 ±4 h)in test group and (75 ±15 min)and (33 ±6 h)in control group,with statistical difference between the 2 groups(P <0.05).Except 1 case of adhesive intestinal obstruction in control group,there was no significant difference between the two groups in biliary drainage,jaundice elimination,postoperative complications and incidence of re-operation. Conclusions Compared with biliary-enteric Roux-en-Y anastomosis,the modified biliary-enteric (Warren)an-astomosis is a simple and reliable operation technique for biliary tract dilatation in children with better short-term outcomes.关键词
胆总管疾病/吻合术,Roux-en-Y/治疗结果/儿童Key words
Common Bile Duct Diseases/Anastomosis,Roux-en-Y/Treatment Outcome/Child引用本文复制引用
樊剑锋,石英佐,朱晓敏,浦晓,王达丰,宣晓琪,程明..改良胆肠袢式吻合术治疗小儿胆管扩张症的疗效分析[J].临床小儿外科杂志,2016,(1):26-28,3.
