应用Roux-en-Y术式治疗十二指肠疾病

作者等采用Roux-en-Y吻合术治疗十二指肠疾病18例，其中十二指肠严重损伤5例．结肠肝曲癌侵犯十二指肠5例．十二指肠肿瘤3例，P-j综合征2例．十二指肠淤滞症2例，十二指脖梗阻坏死1例。死亡率和瘘发生率均为5．6％。作者认为本术式适应于十二指肠肠壁缺损性病变和十二指肠肠腔梗阻性病变的治疗。其优点主要是对十二指肠肠壁缺损修补同时形成有效的十二指肠腔内减压，手术损伤小．操作简单．并发症和死亡率低。

APPLICATION OF ROUX-EN-Y PROCEDURE FOR DUODENAL DISEASES

Eighteen cases of duodenal diseases were managed by using Roux-en-Y loop, including 5 severe trauma, 5 colonic cancer infiltration, 3 primary duodenal tumor, 2 Peutz-Jeghers syndrome, 2 duodenal stasis and one duodenal necrosis caused by obstruction. The clinical results were satisfactory. The mortality and morbidity were 5.6%. The authors considered that the Roux-en-Y loop can be used for duodenal wall defects or duodenal obstruction satisfactorily. The loop could not only repair the defects and decompress the duodenum, but also avoid long time external dainage. The anastomosis is simple with less operative trauma and lower mortality and morbidity.