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在晚期胰头癌姑息性减黄术中应用胆管-空肠“T”管架桥内引流术式,并与胆囊或胆管“T”管外引流术和胆囊或胆管-空肠吻合内引流术进行比较。结果术后近期并发症胆囊或胆管-空肠吻合术组胆瘘、胆系逆行感染发生率远高于其它两组。胆管-空肠“T”管架桥内引流术组的术后生存期、生活质量均高于其它两组,平均住院日低于其它两组。认为胆管-空肠“T”管架桥内引流术为晚期胰头癌姑息性减黄术的一种较理想的手术方式。
In the treatment of palliative yellowing of advanced pancreatic head cancer, the drainage method of “T” biliary duct and jejunum was adopted, and compared with “T” external drainage of gallbladder or bile duct and internal drainage of gallbladder or bile duct - jejunal anastomosis. Results The postoperative complications of gallbladder or bile duct - jejunostomy group biliary fistula, gallbladder retrograde infection incidence was much higher than the other two groups. The postoperative survival and quality of life of the biliary-jejunal “T” bridge drainage group were higher than the other two groups, and the average length of stay was lower than the other two groups. That the bile duct - jejunum “T” bridge drainage for the treatment of advanced palliative pancreatic lesion of a more ideal surgical approach.