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目的 探讨间置胆囊肝管空肠吻合姑息治疗低位恶性阻塞性黄疸的价值。方法 对2 4例低位恶性阻塞性黄疸采用间置胆囊肝管空肠吻合姑息治疗。结果 2 4例中术后未发生吻合口瘘 ,无胆道逆行感染 ,无手术死亡。血清胆红素下降 14例 (5 8.3 % ) ,术后 15d血清胆红素≤ 171μmol/L ,10例 (4 1.7% )术后 3 0d血清胆红素≤ 171μmol/L ;术后黄疸消退时间 18～ 3 5d ;术后 6个月、12个月、18个月生存率分别为 91.7%、62 .5 %、12 .5 %。结论 间置胆囊肝管空肠吻合是姑息治疗低位恶性阻塞性黄疸的有效措施。
Objective To investigate the value of indirect gallbladder hepaticojejunostomy palliative treatment of low grade obstructive jaundice. Methods Twenty-four patients with malignant obstructive jaundice underwent gallbladder hepaticojejunostomy with palliative treatment. Results There was no anastomotic fistula in 24 cases, no retrograde biliary tract infection and no operative death. Serum bilirubin decreased 14 cases (5.38%), 15 days after operation serum bilirubin ≤ 171μmol / L, 10 cases (4 1.7%) 30d postoperative serum bilirubin ≤ 171μmol / L; postoperative jaundice subsided time 18 ~ 35 days. The survival rates at 6 months, 12 months and 18 months after operation were 91.7%, 62.5% and 12.5%, respectively. Conclusion Gallbladder hepaticojejunostomy is an effective palliative treatment for lower malignant obstructive jaundice.