摘要
目的探讨改良胆肠袢式（warren）吻合术治疗小儿先天性胆总管囊状扩张症的近期临床疗效。方法回顾性分析我院2008年10月至2010年12月采用改良胆肠袢式（warren）吻合术治疗30例小儿胆道扩张症患儿的临床资料，并与同期所行胆管空肠Roux-en-Y吻合术的25例患儿临床资料进行比较。结果改良胆肠袢式（warren）吻合组完成吻合术的时间（56±9）min、术后肠功能恢复时间（23．0±3．4）h及住院时间（9±1）d均短于胆管空肠Roux-en-Y吻合组（85±13）rain，（42．3±4．2）h，（12±2）d，两种术式具有相同的胆汁引流效果，减黄的效果差别也显著，近期并发症发生率的差别无统计学意义。结论改良胆肠袢式（warren）吻合术与传统的Y式吻合术相比有很多优点，并且操作简便易行，安全可靠，治疗小儿先天性胆道扩张症近期临床疗效好，长期疗效仍需进一步观察。
Objective To investigate the short-term clinical efficacy of a modified biliary-enteric loop type （Warren） anastomosis to treat bitiary tract dilatation in children. Methods The clinical data of 30 children with biliary tract dilatation, who had accepted modified biliary-enteric loop type （Warren） anastomosis from October 2008 to December 2010, were retrospectively analyzed. During the same period, clinical data of 25 children with biliary tract dilatation who underwent the biliary-enteric Roux-en-Y anastomosis were collected as controls. Results Compared with controls, operation time （56±9 min） for biliary-enteric anastomosis, patients＂ recovery time （23.0 ± 3.4 h） and hospital stay （9 ± 1 d） were decreased using the modified loop-type biliaryenteric anastomosis technique （Warren）. There was no significant difference between the two groups in biliary drainage, jaundice elimination and postoperative complications. Conclusions The short-term clinical outcome suggests the modified biliary-enteric loop type （Warren） anastomosis is a simple, safe and reliable operation technique for patients with biliary tract dilatation. The long-term efficacy evaluation is still needed.
出处
《中华小儿外科杂志》
CSCD
北大核心
2011年第12期896-899,共4页
Chinese Journal of Pediatric Surgery
