胆管空肠搭桥内引流治疗恶性胆道梗阻

Biliary Jejunal Bridge Internal Drainage for Malignant Biliary Duct Obstruction

目的 探求恶性胆道梗阻更安全简便的手术方法。 方法 我院设计采用胆管空肠搭桥术治疗不能行根治术的恶性胆道梗阻病人 2 5例 ,并与同期外引流组 1 2例和传统内引流 2 0例比较。 结果 搭桥组及外引流组比内引流组术后黄疸消退快 ,搭桥组术后不带引流管 ,生存期生活质量较高 ,优于外引流组。 结论 认为胆管空肠搭桥术是一种简单 ,创伤小 ,安全性大的术式。

Objective To find out the safer and simpler operative method for malignant Biliary obstruction. Methods Biliary jejunal bridge internal drainage was used in 25 patients of malignant bile duct obstruction.The rapidity of subsidence of the jaundice and the survival rate were compared between bridge group and 12 cases treated by extenal drainage and 20 case treated by conventional internal drainage at the same period. Results Postoperatively,patients of the bridge group presented a more rapid decrease in the serum bilirulin eoncentration than those of the other two groups and had a good quality of life. Conclusion The present study demonstrated that the bridge internal drainage was a simple and safe surgical procedure without major postoperative events.