摘要
目的探讨高位肝总管空肠R-y吻合术(术式一)治疗胆管损伤bismuthⅢ、Ⅳ、Ⅴ型的疗效。方法通过与带蒂脐静脉瓣修补术(术式二)治疗bismuthⅢ、Ⅳ、Ⅴ型对比,比较术式一与术式二治疗胆管损伤的总体并发症发生率,并作统计学分析。结果BismuthⅢ、Ⅳ、Ⅴ型采取高位肝总管空肠R-y吻合术比脐静脉瓣修补术的总体并发症发生率明显减少(P<0.01)。结论复杂的胆管损伤(BismuthⅢ、Ⅳ、Ⅴ型)采用高位肝总管空肠R-y吻合是一种较好的手术方式。
Objective To investigate the effect of high common hepatic duct jejunum R-y anastomosis （ operation 1 ） treatment of bile duct injury of bismuth Ⅲ, Ⅳ, Ⅴ. Method Through comparing the curative effect of the Umbilical vein with pedicle flap repair （ operation 2） in treating bismuth Ⅲ. Ⅳ. Ⅴ, the two different types （ operationl and operation 2） of bile duct injury overall complication rate can be compared respectively and also the statistics analysis done. Result The overall complication rate of bismuth Ⅲ ,Ⅳ, Ⅴ, which take the high common hepatic duct jejunum R-y, significantly decrease （ P 〈 0. 01 ） than that of Umbilical vein with pedicle flap repair. Conclusion Complicated duct injury （ Bismuth Ⅲ, Ⅳ, Ⅴ type） is better to be repaired by using high common hepatic duct jejunum R-y anastomosis surgery.
出处
《肝胆外科杂志》
2009年第2期102-105,共4页
Journal of Hepatobiliary Surgery
关键词
胆道损伤
R-y吻合
高位肝总管
Bile common duct injury
R-y anastomosis
High common hepatic duct
