胆管十二指肠间置空肠吻合术治疗肝胆管结石21例临床观察

目的探讨胆管十二指肠间置空肠吻合术治疗肝胆管结石的疗效。方法选取2011年1月～2011年12月扬州市江都区第二人民医院收治的肝胆管结石患者42例,随机分为两组。实验组采取间置空肠吻合术治疗肝胆管结石,对照组使用T管引流术治疗。通过B超或T管胆道造影,评价两种治疗手段的临床价值。结果间置空肠吻合术治疗后,优、良、差病例分别为18、2和1例,优良率95.2%,显著高于对照组。从复发情况看,实验组的复发病例显著少于对照组,差异有统计学意义(P<0.05)。结论胆管十二指肠间置空肠吻合术在治疗肝胆管结石上具有极大的应用价值,是一种有效的治疗方式。

Objective To discuss the efficacy of bile duct bile duct stones set jejunum anastomosis in the treatment.Methods January 2011-December bile duct stones in patients 42 cases were randomLy divided into 2 groups （experimental and control groups）. Experimental group to take the jejunal interposition anastomosis for bile duct stones, and the control group using the T-tube drainage in the treatment. B or T-tube cholangiography to evaluate the clinical value of the two kinds of treatment. Results Jejunal interposition anastomosis for excellent, good, poor cases were 18,2 and 1 cases, 95.2%, significantly higher than From the recurrence, the recurrence of the experimental group was significantly less than the control group （P0.05）. Conclusion Jejunal interposition in the bile duct anastomosis in the treatment of bile duct stones has great clinical use value, is an effective treatment.