中晚期胰腺癌致梗阻性黄疸姑息性手术治疗疗效临床分析

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1、英文摘要bodyfirst，thentransectedthecommonbileduct，andligatedthediatalend．Cutof!fjejunum行omtheTreitzligament15cm，closedthedistalend，andmadeendtosideanastomosisb舐veen也edistaljejunumandthecommonbileductbehindtransversecolon．Atla瓯madeasidetosideanastomosisbetweentheDroximalieiun

2、umandt11edistaljejunumwhichwasaway仔ombetweentheproxlmal1elunumandtnedlstaljeJunUmWnlCnwasaWayIrOmthefirStanastomosis45～50cm．⑧FivecasesunderwentcholeCystoenterostomycombinedwithpreVentiVegaS仃ojejunostomy．Theoperations．teps：Didgaust叫ejunostomyinadd“iononthebasisofcholecyst

3、oenterostomy．Butthereweredifferencesbetweenthe觚okindsofoDeration．itwasthatcutoff{eiunum丘．omtheTreitzligament35cmanddid0peratlon，ltwasmatcutO士tlelunumn．ommeIrel亿llgamemj)cmanaQlQgastrojejunostomy仔omtheTreitzlig锄ent15~20cm．④SeVenteencasesunde删choledochoenterostomycombinedw

4、ithprophylacticgastrojejunostomy．Theoperationmethod：Didgastrojejunostomyinadditiononthebasisofcholedochoemerostomy．Themethodofanastomosiswasasthes锄et0dbove．Throu曲readedcompleteclinicalcaSes，obsen，edchangeofbilirubin，postoperativelengthoftime，postoperatiVecomplicationsand

5、mortalityratewhichwereusedtoestablishanExceldatabase．Thestatisticalanalysesweresubjectedt0ttestformeasurementdataa11dFisher’sexaCttestfIorenllmerationdatausingSPSS13．Os眦isticalso脚are．WecomparedofadvantagesanddisadVantagesofdi毹rentpalliatiVeoperationsaccordingt0theresults

6、ofstatisticalanalysis．Results：1111ejaundicesubsidedrateoneweekaReroperation(preoperatiVeTBILminusTBILoneweekafteroperationaccountforpreoperatiVeTBILperCentage)incholecystoenterostomy铲oupandcholedochoenterostomygroupwere68．4％，65．6％，themeanpostoperatiVelen舀hofstaywere11day

7、s，11．4days，theincidenceofcomplicationswere15．8％，3．8％，thedifferenceswerenonsignificantbetweengroups(矿O．05)．CholecystoenterostomycombinedwithpreVentiVegaStrojejunostomygroup’smeanpostoperatiVelen垂hofStaywas13．8days，theincidenceofpostoperatiVecomplications英文摘要一一_—一一—————_——

8、—————————--——————-—_——_————●—_—_—●—————-—●一was40％．Comparedwimcholecystoenterostomygroup，therewasnostati