不同吻合术式在胆道外科手术中的应用

Application of the Different Anastomosis Operation on Biliary Tract Surgery

目的:比较改良胆管空肠攀式吻合术与传统的胆管空肠Roux-en-Y吻合术的临床效果。方法:随机选择需要行胆肠吻合的患者30例,并根据患者的意愿将患者分为实验组(改良的胆管空肠袢式吻合术组)17例,对照组(传统的Roux-en-Y胆管空肠吻合术组)13例。术后1周分别取两组患者胆支肠袢中的肠液进行细菌培养,测出细菌菌落的数量,并进行分析比较。结果:实验组肠袢中肠液的细菌菌落数量为:(4.58±1.50)×104·mL-1,对照组为(7.15±2.33)×104·mL-1,两组对比P<0.01,有显著性差异。结论:改良的胆管空肠襻式吻合术比传统的Roux-en-Y胆管空肠吻合术具有更好的临床效果,能减少患者的术后并发症,为改良的胆管空肠襻式吻合术在临床推广应用提供实验的理论依据。

Objective：To compare the clinical effect of improved bile duct jejunum anastomosis with traditional bile duct jejunum Roux-en-Y. Methods：Thirty patients who need intestinal anastomosis were selected randomly,and according to the wishes of patients were divided into the experimental group（the improved bile duct jejunum loop anastomosis group, 17 cases）and control group（traditional Roux-en-Y bile duct jejunum anastomosis group,13 cases）. Intestinal juice in bowel loops was taken from the two groups respectively for bacterial culture. The number of bacterial colonies was meas-ured,compared and analyzed. Results：The number of bacterial colonies in intestinal juice in intestinal loops of experi-mental group was（4. 58 ± 1. 50）× 104 ·mL - 1 ,that of control group was（7. 15 ± 2. 33）× 104 ·mL - 1 . There was sig-nificant difference（P ﹤ 0. 01）. Conclusions：Improved bile duct jejunum loop anastomosis has better clinical effect than traditional Roux-en-Y bile duct jejunum anastomosis. It can reduce the postoperative complications. It offers the theoretical basis for the application of the improved bile duct jejunum loop anastomosis in the clinical experiment.