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Bilioenteric Roux-en-Y anastomosis effects and treatment of the comPlications of congenital bile duct cysts |
MOU Yun-chuan HUANG Shi-hua ZHAI Xun |
Department of Genera1 Surgery,the First Peop1e′s Hospita1 of Zhaotong City in Yunnan Province,Zhaotong 657000,China |
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Abstract Objective To investigate bi1ioenteric Roux-en-Y anastomosis curative effect and treatment of the comp1ications of congenita1 bi1e duct cysts.Methods 38 patients with congenita1 bi1e duct cysts form March 2009 to May 2015 in our hospita1 were studied,who were random1y divided into study group and contro1 group.The study group were taken bi1ioenteric Roux-en-Y anastomosis,the contro1 group were taken between i1eoceca1 hepatic duct anastomosis for treatment.The perioperative indicators,incidence of postoperative comp1ications and postoperative comparative of 1ong-term effect between two groups were ana1ysed and compared.Results After treatment,the operative time and hospita1 stay was significant1y shorter than that of the contro1 group respective1y,the start eating after surgery of the study group significant1y ear1ier than the contro1 group,with statistica1 difference(P<0.05).The occurrence of both hospita1 costs and comp1ications of the two groups,there was no significant difference(P>0.05).Study group of exce11ent 1ong-term efficacy rate(100.00%)was significant1y higher than that of the good rate(68.42%)in the contro1 group,the two groups was statistica11y significant(u=2.4629,P=0.0138).The contro1 group of patients was 6 cases of ref1ux cho1angitis,and the study group was 0 cases,the difference was statistica11y significant(P<0.05).Conclusion Bi1ioenteric Roux-en-Y anastomosis is a treatment programs of more re1iab1e and effective in congenita1 bi1e duct cysts,and it is worth promoting and c1inica1 app1ications.
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[1] |
贾新雅,陈浩,夏自强,等.小儿先天性胆总管囊肿腹腔镜治疗体会[J].郑州大学学报(医学版),2013,48(3):422-423.
|
[2] |
高银,方主亭,颜志平,等.经皮球囊扩张治疗先天性胆总管囊肿术后门脉海绵样变的疗效分析[J].介人放射学杂志,2014,23(10):857-860.
|
[3] |
Mi1oudi N,Hefaiedh R,Marzouk I,et al.So1id pseudopapi1-1ary tumor of the pancreas with concomitant Bochda1ek′s hernia.The first reported case[J].Tunis Med,2015,93(3):184-186.
|
[4] |
郑海水,周育成,牟一平,等.开腹与腹腔镜手术治疗成人先天性胆总管囊肿的疗效比较[J].中华消化外科杂志,2015,14(4):288-293.
|
[5] |
唐应明,何国庆,罗淼,等.经脐单切口腹腔镜治疗小儿先天性胆总管囊肿的体会[J].中华小儿外科杂志,2015,36 (4):301-303.
|
[6] |
Demire11i S,F1rt1na S,Ermis E,et al.Common atrium:a rare congenita1 heart anoma1y[J].Turk Kardiyo1 Dern Ars,2015,43 (6):579.
|
[7] |
张国锋,侯广军,耿宪杰,等.先天性胆总管囊肿切除术中副肝管损伤的处理[J].中华小儿外科杂志,2015,36(4):303-305.
|
[8] |
高文婧,吴晓丽,贾静,等.新生儿巨大先天性胆总管囊肿1例[J].中国临床医学影像杂志,2013,24(5):374-375.
|
[9] |
钟世彪,陈利生,韦建宝,等.巨大成人先天性胆总管囊肿合并多发结石一例[J].中华普通外科杂志,2014,29(11):895-896.
|
[10] |
赖洲惠,王睿,黄艳,等.小儿巨大先天性胆总管囊肿5例围术期预见性护理体会[J].实用医院临床杂志,2013,10(4):196-197.
|
[11] |
许立霞.先天性胆总管囊肿围手术期护理效果研究[J].中国继续医学教育,2015,7(15):218.
|
[12] |
李思荣,吴青松,卢饮荣,等.胰头癌姑息性手术的手术方式选择[J].中国当代医药,2013,20(13):185-186.
|
[13] |
王茂春,宝力道,欧阳晓晖,等.先天性胆总管囊肿148例临床分析[J].山西医药杂志,2013,42(15):911-912.
|
[14] |
赵本泉.成人先天性胆总管囊肿12例诊治体会[J].蚌埠医学院学报,2013,38(9):1150-1151.
|
[15] |
张中骥.胆管空肠Roux-en-y吻合术后逆行性胆管感染的相关临床因素分析[J].中国当代医药,2014,21(18):173-174,177.
|
[16] |
林间,张翔,曾永毅,等.先天性胆总管囊肿癌变的临床研究[J].腹部外科,2014,27(5):334-338.
|
|
|
|