摘要
目的 研究Roux - Y 吻合术后吻合口的形态以及Y 形形态和抗反流的关系。方法 60 例胆肠Roux -Y 吻合的病人分为对照组与改良组。对照组按传统的方法吻合;改良组上行肠袢缩短至25 ～30cm ,近侧肠袢取15～20cm ,同步缝合延长至10 ～12cm 。术后15 ～90 天行2 ～3 次上消化道钡透。结果 (1) 符合Y 形38 例,反流3 例(7-9 % ) ;非Y 形22 例,反流14 例(63-6 % ) 。(2) 改良组符合Y 形者26 例,对照组符合Y 形者12 例,统计学处理两组间差异有极显著意义。结论 (1) 改良法Roux - Y 吻合更符合Y 形态;(2) 符合Y 形者有较好的抗反流效果。
Objective To study the morphology of Roux-Y choledochojejunostomy,and to investigate the effects of anti-reflux following the Roux-en-Y anastomosis.Methods 60 patients of Roux-Y choledochojejunostomy were divided into conventional(n=30) and modified(n=30) operation groups.Traditional operation methods were performed in the conventional group.In the modified group,the ascending jejunum loop was reduced to 25～30cm;the proximal jejunum loop was taken 15～20cm;and they were sutured side by side 10～12cm.15 to 90 days after the operation,barium meal examination of digestive tract were performed twice or three times.Results 12 cases of the Roux-Y anastomosises were like“Y” shape in the conventional group,and 26 cases in the modified group.The rate of reflux is 7 9%(3/38) in cases with Y shape after anastomosis and 63 6%(14/22) in cases without standard Y shape.Conclusion (1)The modified technique is useful to make the choledochojejunostomy like “Y” shape.(2)“Y” shape of the choledochojejunostomy is related to the prevention of the reflux into the biliary tree.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第12期729-730,共2页
Chinese Journal of Practical Surgery
关键词
胆肠吻合术
ROUX-Y吻合
肠内容反流
Choledochojejunostomy Roux-Y anastomosis Reflux of intestinal content
