胆管空肠Rouxeny吻合术后逆行性胆管感染相关临床因素分析.docVIP

胆管空肠Rouxeny吻合术后逆行性胆管感染相关临床因素分析 　　[摘要] 目的 探讨胆管空肠Roux-en-y吻合术后逆行性胆管感染的相关临床因素。 方法 选择本院收治并实施胆管空肠Roux-en-y吻合术患者134例，分析糖尿病病史（有或无）、吻合口直径（≤2 cm或2 cm）、吻合方式（侧侧吻合、端侧吻合）、术前黄疸持续时间（≤7 d或7 d）、术前胆红素水平（≤171 μmol/L或171 μmol/L）、术中抗菌药物（有或无）对术后逆行性胆管感染的影响。 结果 合并糖尿病患者发生逆行性胆管感染发生率高于无糖尿病患者，差异有统计学意义（P2 cm患者，差异有统计学意义（P0.05）；侧侧吻合患者的逆行性胆管感染发生率高于端侧吻合患者，差异有统计学意义（P0.05）。 结论 胆管空肠Roux-en-y吻合术后逆行性胆管感染与患者是否合并糖尿病、吻合口大小及吻合方式有关,值得临床借鉴。 　　[关键词] 胆管空肠Roux-en-y吻合术；术后；逆行性胆管感染 　　[中图分类号] R619+.3[文献标识码] B[文章编号] 1674-4721（2014）06（c）-0173-03 　　 　　Analysis of clinical factor associated with retrograde infection of biliary tract after bile duct jejunum Roux-en-y anastomosis 　　ZHANG Zhong-ji 　　The Second Department of General Surgery,the First People′s Hospital of Nanyang City in Henan Province,Nanyang 473000,China 　　[Abstract] Objective To explore the clinical factor associated with retrograde infection of biliary tract after bile duct jejunum Roux-en-y anastomosis. Methods 134 cases of patients with bile duct jejunum Roux-en-y anastomosis were selected.The history of diabetes(with or without),stoma diameter(≤ 2 cm or 2 cm),anastomosis(side to side anastomosis or end to side anastomosis)preoperative duration of jaundice (≤ 7 d or 7 d),preoperative bilirubin levels (≤ 171 μmol/L or 171 μmol/L),antibacterial drug operation (with or without) on the effect of retrograde biliary tract infection after operation was analyzed respectively. Results The incidence rate in retrograde infection of biliary tract patients with diabetes was higher than that in patients without diabetes,with statistical difference(P 2 cm,with statistical difference(P0.05).The incidence rate in retrograde infection of biliary tract patients with side to side anastomosis was higher than that in patients with end to side anastomosis,with statistical difference(P0.05). Conclusion The retrograde infection of biliary tract after bile duct jejunum Roux-en-y anastomosis is related with diabetes,stoma size and consistent style,and it is worthy of