开腹胆道旁路手术治疗胆管癌的效果分析 |
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引用本文: | 任勇刚,李德元.开腹胆道旁路手术治疗胆管癌的效果分析[J].实用癌症杂志,2016(2):326-329. |
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作者姓名: | 任勇刚 李德元 |
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作者单位: | 810001,青海省交通医院 |
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摘 要: | 目的:探讨开腹胆道旁路手术治疗胆管癌的效果。方法60例胆管癌患者,根据随机数字表法分为治疗组与对照组,各30例。对照组采用传统手术切除治疗,治疗组采用开腹胆道旁路手术治疗。结果所有患者都顺利完成手术,治疗组的术中出血量、术后住院时间、术后下床活动时间与术后肛门排气时间明显低于对照组(P<0.05),而2组手术时间对比差异无统计学意义。2组术前的血清总胆红素值都呈现为高位状况,术后都明显降低(P<0.05),同时术后治疗组的血清总胆红素值明显低于对照组(P<0.05);治疗组术后切口感染、肺部感染、胆漏、低氧血症、粘连性肠梗阻等并发症发生率明显低于对照组(P<0.05)。术后随访6个月,治疗组复发率为0,对照组为16.7%,治疗组复发率明显低于对照组(P<0.05)。结论开腹胆道旁路手术治疗胆管癌具有明显的微创优势,能促进胆功能的恢复,减少术后并发症的发生与远期复发率,值得推广应用。
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关 键 词: | 开腹胆道旁路手术 胆管癌 胆道结石 并发症 |
Analysis of Efficacy of Open Biliary Bypass Surgery for Cholangiocarcinoma |
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Abstract: | Objective To investigate the? efficacy of open biliary bypass surgery for cholangiocarcinoma.Methods 60 cholangiocarcinoma patients were randomly divided into the treatment group and the control group,the control group received tra-ditional surgical resection,the treatment group received the open biliary bypass surgery.Results All patients successfully com-pleted surgery.The blood loss,postoperative hospital stay,postoperative ambulation time and postoperative flatus time in the treat-ment group were significantly lower than those of the control group(P<0.05),operating time of the 2 groups had no statistically significant difference.The serum total bilirubin values in the 2 groups before the surgery were high,and after the surgery decreased (P<0.05),while the postoperative value of total serum bilirubin in the treatment group were significantly lower than those of the control group(P<0.05).The postoperative adverse reactions in the treatment group were wound infection,pulmonary infection, bile leakage,hypoxemia,intestinal obstruction,which were significantly lower than those of the control group(P<0.05).Patients were followed up for 6 months,the recurrence rate in the treatment group was 0,which was significantly lower than that of the con-trol group 16.7%(P<0.05).Conclusion Open biliary bypass surgery minimally invasive treatment for cholangiocarcinoma has obvious advantages,it can promote functional recovery of bile and reduce the incidence of long-term recurrence rate of postopera-tive complications,and it should be widely applied. |
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Keywords: | Open biliary bypass surgery Cholangiocarcinoma Biliary calculi Complication |
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