胆管空肠Roux—en—y吻合术对老年胆道再生结石的远期疗效

目的探讨改良的胆总管空肠Roux—en—y吻合术对老年胆道再生结石患者的远期疗效。方法将自1990年7月至2002年7月本院收治的51例老年胆道结石复发的患者分为改良组与对照组。改良组31例，均行改良的胆总管空肠Roux—en—y吻合术；对照组20例为改良术式前收治的患者，行胆管十二指肠吻合术。对51例进行随访6～16年，统计两组远期效果及再手术率。结果改良组效果优、良者占93．6％，再手术率3．2％（1／31）；对照组效果优、良者占60．0％，再手术率35％，两组间优良率及再手术率差异有统计学意义（P〈0．01）。结论胆总管空肠Roux—en—y吻合术对老年胆道再生结石患者有良好的远期疗效。

Objective To investigate the long - term effect of modified cholangio - jejunal anastomosis of Roux - en - y in treatment of regenerated bile duct stone of old patients. Methods From July 1990 to July 2002 two different types of choledoehoduodenostomy were adopted in 51 cases of old patients suffering from regenerated bile duct stone. The modified cholangiojejunostomy was adopted in 31 cases. The other 20 cases as control group were treated with low position choledochoduodenostomy. During a follow -up period of 6 to 16 years, the long -term results and reoperation rate were recorded and analysised. Results In modified group 93.6 % of the cases, excellent or good long - term results were achieved. The total reoperation rate was 3.2 % （1/31 ）. In control group were 60. 0% and 35% （7/20）. The results of two groups was considered statistics significant. （P 〈 0.01 ）. Conclusion In order to avoid converse infection and blindloop syndrome, the cholangiojejunostomy of Roux - en - y has a better long - term effect in treatment of old patients of regenerated bile duct stone.