改良胆肠Warren吻合术202例疗效观察

目的 比较改良胆肠Warren吻合术较胆肠Roux-en-Y吻合术的优越性。方法 2004-05～2013-10在本院外科住院的202例患者,其中胆肠Roux-en-Y吻合术病例123例,改良胆肠Warren吻合术病例79例,观察患者术后胆道感染的发生率和再手术率。结果 术后随访180例,随访率89.1%;随访时间3～70月,平均35.6±19.3月。胆肠Roux-en-Y吻合术后胆道感染率11.1%,再手术率5.6%;改良胆肠Warren吻合术后胆道感染率5.6%,再手术率1.4%,两组间差异有统计学意义(P＜0.05)。结论 改良胆肠Warren吻合术术后的胆道感染率较胆肠Roux-en-Y吻合术明显减少,且手术操作简便、省时,术后并发症少,值得推广。

The efficacy of 202 cases with improved biliary-enteric Warren anastomosis

Objective To compare the superiority of improved biliary - enteric Warren anastomosis and bilioenteric Roux - en - Y anastomosis. Methods 202 cases of patients in surgical of our hospital were selected from May 2004 to October 2013,123 cases of patients were treated with biliary -enteric Roux -en -Y anastomosis ,79 cases of pa- tients were treated with improved biliary - enteric Warren anastomosis, the incidence of postoperative biliary tract infection and the rate of reoperation were observed. Results 180 cases were followed - up and the rate was 89.1% ; the followed - up time was 3 to 70 months and the average of months was 35.6 _＋ 19.3. The infection rate of biliary - enteric Roux - en - Y anastomosis was 11.1% and the reoperation rate was 5.6% ;The infection rate of improved biliary-enteric Warren anastomosis was 5.6% and the reoperation rate was 1.4% ;there was a statistical difference between the two groups （ P 〈 0.05 ）. Conclusion The postoperative infection of biliary using improved biliary - en- teric Warren anastomosis is significantly reduced compared with biliary - enteric Roux - en - Y anastomosis, and the opration is simple, saving time and has fewer complications, it is worthy of promotion.