资源描述：
《胆肠Roux―en―Y吻合术治疗先天性胆总管囊肿的疗效及术后并发症处理.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、胆肠Roux—en—Y吻合术治疗先天性胆总管囊肿的疗效及术后并发症处理［摘耍］目的探究胆肠Roux-en-Y吻合术治疗先天性胆总管囊肿的疗效及术后并发症的处理。方法选择2009年3月〜2015年5月我院收治的先天性胆总管囊肿患者38例进行研究，将其随机均分为研究组和对照组。其中研究组19例，采取胆肠Roux-en-Y吻合术治疗；对照组19例,采取空肠间置肝管十二指肠吻合术进行治疗。术后比较分析两组患者的围术期各项指标、术后并发症的发生情况及术后远期疗效。结果治疗后研究组手术时间、术后开始进食时间、住院时间等明显短于对照组，差异有
2、统计学意义（P0.05）o研究组远期疗效的优良率（100.00%）明显高于对照组的优良率（68.42%）,两组比较差异有统计学意义（u二2.4629,P二0.0138）。对照组患者出现6例反流性胆管炎，研究组为0例，两组比较差异有统计学意义（卩〈0・05）。结论胆肠Roux-en-Y吻合术是治疗先天性胆总管囊肿的一种较为可靠有效的治疗方案，值得临床大力推广应用。［关键词］胆肠Roux-en-Y吻合术；先天性胆总管囊肿；空肠间置肝管十二指肠吻合术；并发症［中图分类号］R575.7［文献标识码］A［文章编号］1674-4721（20
3、16）02（b）一0020—03Bi1ioentericRoux-en-YanastomosiseffectsandtreatmentofthecomplicationsofcongenitalbileductcystsMOUYun-chuanHUANGShi-huaZHAIXunDepartmentofGeneralSurgery,theFirstPeople'sHospitalofZhaotongCityinYunnan卩rovinee,Zhaotong657000,China[Abstract]ObjectiveToinv
4、estigatebilioentericRoux-en-Yanastomosiscurativeeffectandtreatmentofthecomplicationsofcongenitalbi1eduetcysts.Methods38patientswithcongenitalbi1educt,cystsformMarch2009toMay2015inourhospitalwerestudied,whowererandomlydividedintostudygroupandcontrolgroup.Thestudygroup
5、weretakenbilioentericRoux-en-Yanastomosis,thecontrolgroupweretakenbetweenileocecalhepaticductanastomosisfortreatment.Theperioperativeindicators,incideneeofpostoperativecomplicationsandpostoperativecomparativeoflong一termeffectbetweentwogroupswereanalysedandcompared.Re
6、sultsAftertreatment,theoperativetimeandhospitalstaywassignificantlyshorterthanthatofthecontrolgrouprespectively,thestarteatingaftersurgeryofthestudygroupsignificantlyearlierthanthecontrolgroup,withstatisticaldifference(卩0.05)•Studygroupofexcellentlong-termefficacyrat
7、e(100.00%)wassignificantlyhigherthanthatofthegoodrate(68.42%)inthecontrolgroup,thetwogroupswasstatisticallysignificant(u二2.4629，卩二0.0138).Thecontrolgroupofpatientswas6casesofrefluxcholangitis,andthestudygroupwas0cases,thedifferencewasstatisticallysignificant（P〈0.05）.
8、ConclusionBilioentericRoux-en-Yanastomosisisatreatmentprogramsofmorereliableandeffectiveincongenitalbileductcysts,anditisworthpromo
