摘要
目的:比较Prolene线连续全层缝合与丝线间断全层外翻缝合两种手术方式在胆总管空肠Roux-en-Y吻合术中的优缺点。方法:65例需行胆总管空肠Roux-En-Y吻合术的患者随机分为两组。观察组:30例,行Prolene线连续全层缝合;对照组:35例,行丝线间断全层外翻缝合。比较两组间吻合时间、术后感染发生率、吻合口狭窄发生率、胆漏发生率、吻合口出血发生率。结果:观察组的吻合时间、术后感染发生率、吻合口狭窄发生率、胆漏发生率、吻合口出血发生率均著低于对照组(P<O.05)。结论:Prolene线在胆总管空肠Roux-en-Y吻合术中连续全层缝合,操作简单易行,手术时间短,效果良好,且安全可靠,是一种理想的缝合材料和缝合方法。
Objective：To compare the advantage and disadvantage between modus operandi of Prolene-line used in continuous full-thickness suturation and that of suture silk used in disjunctive full-thickness ecstrophia! saturation in Roux-en-Y-anastomosis of hepato-cystic duct and jejunum.Methods：65 Patients undergoing Roux-en-Y-anastomosis of hepatocystic duct and jejun- um were randomly divided into 2 groups ：observation group, 30 cases,accepting continuous full-thickness suturation used of ProIene-line;Contro｜ group,35 cases,accepting disjunctive fu!I-thickness ecstrophial saturation used of suture silk. Result：The performing time,incidences of postoperative infection ,stenostomia,leak of bile,stomatorrhagi of observation group were significantly lower contrast to control group （P〈0.05）.Conculusions：The modus operandi of Prolene-line used in continuous full-thickness sutu- ration is easy to perform,the performing time is short, and outcome is excellent.It is a safe, reliable, rational and available Suture mater/al and method of anastomosis.
出处
《医学信息（中旬刊）》
2010年第4期749-750,共2页
Medical Information Operations Sciences Fascicule
