“一针法”胆肠吻合术在胆道疾病中的应用

发布时间：2018-04-16 08:03

本文选题：一针法 + 胆肠　；参考：《山东大学》2017年硕士论文

【摘要】：目的:评估"一针法"连续缝合胆肠吻合术在肝胆疾病中的应用和效果。方法:收集2012年1月至2013年12月间山东省立医院器官移植肝胆外二科接受胆肠吻合术的214例患者的临床资料,回顾性分析的上述患者的临床资料,根据患者胆肠吻合术式分组为传统胆肠吻合术组(间断吻合)和"一针法"胆肠吻合术组。统计两组患者胆肠吻合时间、术后胆漏、胆系感染、吻合口出血、胆道狭窄并发症发生率差异。结果:214例患者中,100例患者胆肠吻合采取传统的间断吻合术式,114例患者采取"一针法"吻合术式。传统吻合术组平均吻合时间30±2min,"一针法"吻合组时间为7±1.5min,两组吻合时间存在显著差异(p0.05),传统吻合术式组并发症发生率为:9例(9/100,9%)胆漏,21例(21/100,21%)胆系感染,6例(6/100,6%)胆道狭窄,而"一针法"吻合组患者上述并发症发生率分别为:胆漏1例(1/114,0.8%),胆系感染1例(1/114,0.8%),胆道狭窄0例(0/114,0%),两组患者上述并发症存在显著差异。而胆道出血两组患者无显著差异:传统吻合组1例(1/100,1%),一针法组2例(2/114,1.8%)结论:"一针法"连续胆肠吻合是一种操作简便、省时、并发症少的手术方式.
[Abstract]:Objective: to evaluate the application and effect of "one-needle" continuous suture choledojejunostomy in patients with hepatobiliary diseases.Methods: the clinical data of 214 patients undergoing choledochojejunostomy from January 2012 to December 2013 were collected and retrospectively analyzed.Patients with choledochojejunostomy were divided into two groups: traditional choledochojejunostomy group (intermittent anastomosis) and "one needle" choledochojejunostomy group.The time of choledochojejunostomy, postoperative bile leakage, biliary tract infection, anastomotic bleeding and biliary stricture complications were compared between the two groups.Results among 214 cases, 100 cases underwent choledochojejunostomy with traditional intermittent anastomosis and 114 cases were treated with "one needle" anastomosis.The mean anastomosis time was 30 卤2 min in the traditional anastomosis group and 7 卤1.5 min in the "one needle" anastomosis group. There was a significant difference in anastomosis time between the two groups (p 0.05). The complication rate in the traditional anastomosis group was 9 cases (9 / 100 / 9)) bile leakage in 21 cases (21 / 100%)) biliary tract infection in 6 cases (6 / 1006).In the "one needle" anastomosis group, the incidence of the above complications were as follows: 1 case of bile leakage, 1 case of biliary tract infection, 1 case of biliary tract infection, and 0 case of biliary tract stenosis, respectively. There was a significant difference in the above complications between the two groups.But there was no significant difference between the two groups: one case in the traditional anastomosis group (1 case) and two cases in the one acupuncture group (2 cases). Conclusion: continuous choledochojejunostomy with "one needle method" is a simple, time-saving and less complicated operation method.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.4

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