15 胆肠吻合肠袢长度的临床研究
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李正平

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Clinical study on the length of jejunal segment for choledochojejunostomy
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    摘要:

    目的:探索胆肠吻合术中肠袢长度与临床效果之间的关系。
    方法:将2002年5月—2004年8月收治的需行胆肠吻合的102例良性患者随机分为2组:肠袢长度为60cm组(长袢组)和肠袢长度为40cm组(短袢组),术后通过稀钡肠袢反流高度观察和随访比较两组的临床效果。
    结果:两组在肠袢反流高度、临床症状方面无明显差异。
    结论:40cm的肠袢与60cm的肠袢有同样的抗反流作用,短肠袢可以增加吸收营养的小肠,减少肠袢臃肿而引起的结石复发。

    Abstract:

    Abstract:Objective:To explore the relationship between clinical result and the length of jejunal segment for cholangiojejunostomy.
    Methods :One hundred and tow patients who had choledochojejunostomy from May 2002 to August 2004 were divided randomly into 2 groups: In group 1 the length of jejunal segment was 60cm,and other group 2 was 40cm.Clinical results were observed by xray barium meal examination and followup survey.
    Results:No difference in degree of reflux and clinical symptoms was found between the 2 groups.
    Conclusions:The group with 40cm jejunal segment had similar antireflux function as the group with 60cm jejunal segment.However,the short jejunal segment can enhance nutrition uptake from the intestine and decrease excessive amount of intestine that can cause recurrence of hepatolitihiasis.

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李正平, 罗道蕴, 张宇.15 胆肠吻合肠袢长度的临床研究[J].中国普通外科杂志,2007,16(7):15-.
DOI:10.7659/j. issn.1005-6947.2007.07.015

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  • 在线发布日期: 2007-07-25