良性胆肠吻合口狭窄球囊扩张与再手术治疗的疗效比较

杨少华; 陈轶晖; 洪茂林; 胡晟; 张小文

doi:10.12259/j.issn.2095-610X.S20210135

良性胆肠吻合口狭窄球囊扩张与再手术治疗的疗效比较

doi: 10.12259/j.issn.2095-610X.S20210135

昆明医科大学第二附属医院肝胆胰外二科，云南昆明　650101

基金项目: 云南省万人计划“名医”培养基金资助项目（云人社[2018]73号）

详细信息

作者简介:
杨少华（1988～），男，陕西渭南人，在读博士研究生，主要从事肝胆胰外科疾病的临床与基础研究工作

通讯作者:
张小文，E-mail：zhangxiaowenlu@hotmail.com

中图分类号: R657.3
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出版历程
- 收稿日期: 2020-04-16
- 网络出版日期: 2021-01-26
- 刊出日期: 2021-01-26

Comparisons of the Effect of Balloon Dilatation and Reoperation on Benign Gallbladder Anastomosis

Dept. of Hepatobiliary and Pancreatic Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

摘要

摘要: 目的比较球囊扩张与再次手术治疗良性胆肠吻合口狭窄的疗效。方法回顾性分析昆明医科大学第二附属医院2009年2月至2019年6月因良性胆肠吻合口狭窄入院治疗的患者41例，其中球囊扩张治疗组18例，再次手术组23例，对比分析两组治疗所需时间、治疗效果及相关并发症。结果球囊扩张治疗组与再次手术治疗组相比，治疗所需时间短、治疗相关并发症少，有统计学意义（P < 0.05）；治愈率、复发率和术后胆管炎两组间无统计学意义（P > 0.05）；但球囊扩张治疗组治愈率稍偏高。结论球囊扩张术在良性胆肠吻合口狭窄治疗中有较高的治愈率，并发症少，是良性胆肠吻合口狭窄安全、有效、可靠的治疗措施。
- 良性胆肠吻合口狭窄 /
- 手术治疗 /
- 球囊扩张
Abstract: Objective To compare the effects of balloon dilatation and reoperation on benign biliary-enteric anastomotic stenosis. Methods From February 2009 to June 2019, 41 patients with benign biliary and intestinal anastomotic stenosis treated in the Second Affiliated Hospital of Kunming Medical University were retrospectively analyzed, including 18 cases in the balloon dilatation treatment group and 23 cases in the reoperation group. And the treatment time, treatment effect and related complications in the two groups were compared. Results Compared with the re-operation group, the balloon dilatation treatment group had the shorter treatment time and fewer treatment-related complications (P < 0.05) and there was no significant difference in cure rate, recurrence rate and postoperative cholangitis between the two groups (P > 0.05) but the cure rate of balloon dilation treatment group was slightly higher.. Conclusion Balloon dilatation has a higher cure rate and fewer complications in the treatment of benign biliary-enteric anastomotic stenosis, and it is a safe, effective, and reliable treatment for benign biliary-enteric anastomotic stenosis.
- Benign bilioenteric strictures /
- Reoperation /
- Balloon dilation

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表 1 球囊扩张治疗组与再次手术治疗组一般资料比较（$\bar x\pm s $）

Table 1. Comparison of general data between balloon dilatation treatment group and reoperation treatment group（$ \bar x\pm s$）

项目	球囊扩张治疗组（n = 18）	再次手术治疗组（n = 23）	χ²/t	P
性别（男/女）	8/10	10/13	0.004	0.951
年龄（岁）	47.7 ± 13.5	48.5 ± 12.9	−0.523	0.604

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表 2 球囊扩张治疗组与再次手术治疗组疗效比较（$\bar x \pm s$）

Table 2. Comparison of curative effect between balloon dilatation treatment group and reoperation treatment group（$\bar x \pm s$）

分组	治疗时间（min）	治愈（n）	狭窄复发（n）	术后胆管炎	治疗相关并发症（n）
球囊扩张治疗组	68.3 ± 22.9^#	17	1	2	3^#
再次手术治疗组	175.6 ± 57.5	20	3	3	11
χ²/t	−9.486	0.074	0.074	0.000	4.36
P	0.000	0.786	0.786	0.995	0.037
与再次手术治疗组比较，^#P < 0.05。

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