两种胆道重建术的评价

The Evaluation of the Two Different Methods of Biliary Tract Reconstruction

1983～1988年6年间共治疗小儿先天性胆管扩张症60例,前3年的25例一律无选择地采用带蒂空肠间置肝管十二指肠吻合术,后3年的35例一律采用肝管空肠 Roux-Y 型吻合术。对两组患儿从临床症状、生长发育、生理功能及特殊检查几个方面进行随访比较。结果显示两种手术近远期疗效无明显差异,对生理功能影响不明显,只要操作熟练并发症很少。

The accepted surgical treatment of congenital choledochal dilation consists of excision and reconstruction of the bile duct.25 patients,from 1983 to 1985,were treated by hepaticojejunoduodenostomy(HJD)and 35 pa- tients,from 1986 to 1988,by Roux-en-Y hepaticoje- junostomy(Roux-en-Y HJ).There was no mortality or any other operative complication in either group.The long-term results of both groups are compared in clinical data,radiographs,ultrasonograms,and serum gastrin levels.No statistical difference was found (P]>0.05). Peptic ulceration has not occurred in any case yet.The mean follow-up time was 6 years and 5 years in the two groups respectively.