本文選題：一針法 + 膽腸��； 參考：《山東大學(xué)》2017年碩士論文

【摘要】：目的:評估"一針法"連續(xù)縫合膽腸吻合術(shù)在肝膽疾病中的應(yīng)用和效果。方法:收集2012年1月至2013年12月間山東省立醫(yī)院器官移植肝膽外二科接受膽腸吻合術(shù)的214例患者的臨床資料,回顧性分析的上述患者的臨床資料,根據(jù)患者膽腸吻合術(shù)式分組為傳統(tǒng)膽腸吻合術(shù)組(間斷吻合)和"一針法"膽腸吻合術(shù)組。統(tǒng)計兩組患者膽腸吻合時間、術(shù)后膽漏、膽系感染、吻合口出血、膽道狹窄并發(fā)癥發(fā)生率差異。結(jié)果:214例患者中,100例患者膽腸吻合采取傳統(tǒng)的間斷吻合術(shù)式,114例患者采取"一針法"吻合術(shù)式。傳統(tǒng)吻合術(shù)組平均吻合時間30±2min,"一針法"吻合組時間為7±1.5min,兩組吻合時間存在顯著差異(p0.05),傳統(tǒng)吻合術(shù)式組并發(fā)癥發(fā)生率為:9例(9/100,9%)膽漏,21例(21/100,21%)膽系感染,6例(6/100,6%)膽道狹窄,而"一針法"吻合組患者上述并發(fā)癥發(fā)生率分別為:膽漏1例(1/114,0.8%),膽系感染1例(1/114,0.8%),膽道狹窄0例(0/114,0%),兩組患者上述并發(fā)癥存在顯著差異。而膽道出血兩組患者無顯著差異:傳統(tǒng)吻合組1例(1/100,1%),一針法組2例(2/114,1.8%)結(jié)論:"一針法"連續(xù)膽腸吻合是一種操作簡便、省時、并發(fā)癥少的手術(shù)方式.
[Abstract]:Objective: to evaluate the application and effect of "one-needle" continuous suture choledojejunostomy in patients with hepatobiliary diseases.Methods: the clinical data of 214 patients undergoing choledochojejunostomy from January 2012 to December 2013 were collected and retrospectively analyzed.Patients with choledochojejunostomy were divided into two groups: traditional choledochojejunostomy group (intermittent anastomosis) and "one needle" choledochojejunostomy group.The time of choledochojejunostomy, postoperative bile leakage, biliary tract infection, anastomotic bleeding and biliary stricture complications were compared between the two groups.Results among 214 cases, 100 cases underwent choledochojejunostomy with traditional intermittent anastomosis and 114 cases were treated with "one needle" anastomosis.The mean anastomosis time was 30 鹵2 min in the traditional anastomosis group and 7 鹵1.5 min in the "one needle" anastomosis group. There was a significant difference in anastomosis time between the two groups (p 0.05). The complication rate in the traditional anastomosis group was 9 cases (9 / 100 / 9)) bile leakage in 21 cases (21 / 100%)) biliary tract infection in 6 cases (6 / 1006).In the "one needle" anastomosis group, the incidence of the above complications were as follows: 1 case of bile leakage, 1 case of biliary tract infection, 1 case of biliary tract infection, and 0 case of biliary tract stenosis, respectively. There was a significant difference in the above complications between the two groups.But there was no significant difference between the two groups: one case in the traditional anastomosis group (1 case) and two cases in the one acupuncture group (2 cases). Conclusion: continuous choledochojejunostomy with "one needle method" is a simple, time-saving and less complicated operation method.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R657.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 季興建,陳學(xué)淵;一針法修補十二指腸潰瘍急性穿孔64例體會[J];江蘇臨床醫(yī)學(xué)雜志;1997年01期

2 韋俊機,韋炳清;一針法阻滯在鎖骨骨折手術(shù)中的應(yīng)用[J];浙江臨床醫(yī)學(xué);2002年07期

3 居建明;王浩偉;;腹腔鏡下一針法修補十二指腸球部潰瘍穿孔35例[J];臨床醫(yī)學(xué);2009年10期

4 宋永宏,周孟虎,劉保國;一針法頸深淺叢阻滯200例比較分析[J];臨床麻醉學(xué)雜志;1998年04期

5 唐作華;唐銳;;腹腔鏡兩孔一針法闌尾切除100例[J];基層醫(yī)學(xué)論壇;2007年02期

6 常通海;;頸叢神經(jīng)阻滯麻醉一針法配合音樂治療68例效果觀察[J];中國民康醫(yī)學(xué);2008年01期

7 李德斌;“一針法”穿刺麻醉在直腸癌手術(shù)中的應(yīng)用體會[J];鎮(zhèn)江醫(yī)學(xué)院學(xué)報;1996年01期

8 張建中;周樹立;鞠振煜;;隧道式輸尿管膀胱吻合術(shù)與“一針法”輸尿管膀胱吻合術(shù)療效比較[J];中國當(dāng)代醫(yī)藥;2009年10期

9 譙凌;;腋路臂叢阻滯麻醉一針法和兩針法比較[J];黔南民族醫(yī)專學(xué)報;2006年04期

10 汪兆麟;古群;;改良一針法頸叢神經(jīng)阻滯麻醉的解剖實驗與臨床應(yīng)用綜合分析[J];海南大學(xué)學(xué)報(自然科學(xué)版);1987年03期

相關(guān)碩士學(xué)位論文 前1條

1 FARRUKH ADEEL MBBS;“一針法”膽腸吻合術(shù)在膽道疾病中的應(yīng)用[D];山東大學(xué);2017年

，

本文編號：1757989