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目的探讨结扎空肠输入段胆管空肠Roux-en-Y吻合术的近期临床疗效。方法回顾分析吉林大学中日联谊医院2005年4月至2006年12月行结扎空肠输入段胆管空肠Roux-en-Y吻合术41例的临床资料,并与同期行胆管空肠Roux-en-Y吻合术48例进行比较。结果结扎空肠输入段胆管空肠Roux-en-Y吻合组术中完成胆肠吻合的时间、术后肠道功能恢复时间、住院时间均短于胆管空肠Roux-en-Y吻合组,两种术式具有相同的减黄效果,住院期间并发症发生率差异无显著性意义。结论结扎空肠输入段胆管空肠Roux-en-Y吻合术的近期疗效肯定,长期疗效仍须进一步观察。

Comparative clinical research between the Uncut Roux-en-Y choledochojejunostomy and the Roux-en-Y choledochojejunostomy

Objective To investigate the short-term therapeutic effects of the Uncut Roux-en-Y choledochojejunostomy.Methods To analyze a total of 41 cases of Uncut Roux-en-Y choledochojejunostomy and compare with 48 cases underwent Roux-en-Y choledochojejunostomy from April 2005 to December 2006.Results The anastomotic time of the Uncut Roux-en-Y choledochojejunostomy is shorter (P<0.05).The period of recovery of bowel sound and flatus are earlier in the patients with Uncut Roux-en-Y choledochojejunostomy than that with Roux-en-Y choledochojejunostomy (P<0.05).The serum level of total bilirubin decreases in both Uncut Roux-en-Y choledochojejunostomy group and Roux-en-Y choledochojejunostomy group with no statistical differences.Conclusion The short-term therapeutic effects of the Uncut Roux-en-Y choledochojejunostomy is better than Roux-en-Y choledochojejunostomy,but the further therapeutic effect need more study.