新医学2016，Vol.47Issue(9)：595-599,5.DOI:10.3969/j.issn.0253-9802.2016.09.005
胆肠改良襻式吻合术与 Roux-en-Y 吻合术的临床对比分析
Comparition of clinical efficacy between modified uncut jejunal loop anastomosis and Roux-en-Y chole-dochojejunostomy
摘要
Abstract
Objective To compare the clinical efficacy between modified uncut jejunal loop anasto-mosis and Roux-en-Y choledochojejunostomy.Methods Clinical data of 1 39 patients undergoing modified un-cut jejunal loop anastomosis and 1 20 receiving Roux-en-Y choledochojejunostomy were retrospectively analyzed. The operation time,intraoperative hemorrhage volume,the time of intestinal function recovery,discharge time and postoperative complications were statistically compared between two groups.Results Compared with pa-tients undergoing Roux-en-Y choledochojejunostomy,intraoperative hemorrhage was significantly reduced and the operation time,time of first flatus and length of hospital stay were significantly shortened in the modified uncut jejunal loop anastomosis group (all P <0.05).In the modified uncut jejunal loop anastomosis group,the incidence of bile leakage was 2.9% (n =4),significantly lower compared with 1 0.8% (n =1 3)in the Roux-en-Y choledochojejunostomy group (P <0.01 ).The incidence of acute cholangitis and delayed gastric empty-ing did not significantly differ between two groups (both P >0.05).Conclusion Compared with Roux-en-Y choledochojejunostomy,the modified uncut jejunal loop anastomosis yields better physiological status,faster postoperative recovery and lower incidence of cholangitis.关键词
Roux-en-Y吻合术/胆肠改良襻式吻合术/并发症Key words
Modified uncut jejunal loop anastomosis/Roux-en-Y choledochojejunostomy/Complication引用本文复制引用
何焯成,张朝晖,黄力,梁力建,赖佳明..胆肠改良襻式吻合术与 Roux-en-Y 吻合术的临床对比分析[J].新医学,2016,47(9):595-599,5.基金项目
广东省自然科学基金 （）
