摘要
目的:探讨胆管结石手术引流方式随诊断技术和手术技巧的提高所发生的变迁.方法:收集1986-2007年南昌大学第二附属医院3691例胆管结石患者的临床资料,并利用中国生物医学文献数据库检索20世纪60-80年代初胆管结石手术引流方式资料.分析胆管结石手术引流方式-T管引流和胆肠吻合引流的变化趋势,并分析其产生变化的原因.结果:20世纪60-80年代初、1986-1996年、1997-2007年这3个时间段胆管结石患者中T管引流和胆肠吻合引流在同期行手术治疗的患者中百分比分别是74.70%和16.90%、35.20%和38.42%、70.30%和10.16%.结论:近50年我国胆管结石患者手术引流方式经历了胆道探查+T管引流、胆肠吻合与病灶根治+T管引流3个阶段.
AIM： To retrospectively evaluate the changes in biliary drainage procedures for patients with bile duct stones.METHODS： The clinical records of 3691 patients with bile duct stones treated at our hospital from 1986 to 2007 were collected, while the clinical data of patients with bile duct stones reported in the literature between 1960 and 1980 were obtained by searching the Chinese Biomedical Literature Database （CBMDisc）. The changes in biliary drainage procedures （e.g., T-Tube drainage and biliary-intestinal anastomosis） were analyzed. Moreover, the possible reasons behind such changes were explored. RESULTS： During the periods from 1960 to1980, 1986 to 1996 and 1997 to 2007, T-Tube drainage and biliary-intestinal anastomosis were used in 74.70% and 16.90%, 35.20% and 38.42%, 70.30% and 10.16% of patients undergoing surgical therapy, respectively.CONCLUSION： Over the past 50 years, the changes in biliary drainage procedures for patients with bile duct stones in China can be divided into three different stages, namely, biliary tract exploration plus T-Tube drainage, biliaryintestinal anastomosis, and radical treatment of focal infection plus T-Tube drainage.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第19期2005-2009,共5页
World Chinese Journal of Digestology
关键词
胆管结石
胆道探查
T管引流
胆肠吻合
Bile duct stones
Biliary tract exploration
T-Tube drainage
Biliary-intestinal anastomosis
