论文部分内容阅读
目的探讨对恶性梗阻性黄疸患者采取的几种姑息减黄手术的近期疗效。方法本院2006年3月-2011年12月间共治疗晚期恶性梗阻性黄疸患者79例。针对上述所有患者采取的各种姑息减黄内、外引流手术情况以及术后并发症、近期疗效进行回顾性对比分析。结果根据诊断病情行外引流术22例,行胆肠Roux-Y内引流术31例,行胆管空肠架桥内引流术26例。经统计学对比分析,三组行不同手术患者术后黄疸减退率结果差异无统计学意义P>0.05)。但行胆管空肠架桥内引流术患者术后并发症发生率、术后电解质失衡以及酸碱平衡紊乱发生率情况显著优于行其它两种手术患者,且结果具有统计学意义(P<0.05)。结论胆管空肠架桥内引流术在拥有其它手术方式等同疗效的基础上,具有手术简单、手术时间快且患者耐受好等显著优点。对于晚期恶性梗阻性黄疸患者,可以视作为一种首选的手术方式,且值得临床推广。
Objective To investigate the short-term effects of several palliative and yellowing operations on patients with malignant obstructive jaundice. Methods A total of 79 patients with advanced malignant obstructive jaundice were treated in our hospital from March 2006 to December 2011. For all the above-mentioned patients to take a variety of palliative reduction of internal and external drainage surgery and postoperative complications, the recent efficacy of a retrospective comparative analysis. Results According to the diagnosis of external drainage in 22 cases, choledochojejunostomy Roux-Y drainage in 31 cases, bile duct jejunostomy drainage in 26 cases. After statistical analysis, there was no significant difference in the reduction rate of postoperative jaundice among the three groups of patients with different surgical operations (P> 0.05). However, the incidence of postoperative complications, postoperative electrolyte imbalance, and the incidence of acid-base balance disorders were significantly better in patients undergoing biliary duct drainage with jejunostomy than in the other two surgical patients (P <0.05) . Conclusion Bile duct jejunostomy drainage has the advantages of simple operation, fast operation time and good patient tolerance, which has the same curative effect as other surgical methods. For patients with advanced malignant obstructive jaundice, can be regarded as a preferred method of surgery, and worthy of clinical promotion.