表 2.
不同术式的临床特征
Clinical features of different anastomotic methods
| Variable | Total (n=88) | CDD (n=4) | RYHJ (n=30) | Whipple (n=54) | P value |
| Data are presented as x±s, n (%), and M (range). -, there was no need for 2nd entry of CDD group. CDD, choledochoduodenostomy; RYHJ, Roux-en-Y hepaticojejunostomy; ERCP, endoscopic retrograde cholangiopancreatography; GE, gastroscope; DE, duodenoscope; CE, colonoscope; SBE, single balloon enteroscope; DBE, double balloon enteroscope; DCE, double channel endoscope; PTC, percutaneous transhepatic cholangiograpy; AP, acute pancreatitis; MRCP, magnetic resonance cholangiopancreatography. | |||||
| Age/years | 55.9±12.9 | 53.8±15.7 | 52.4±13.0 | 58.1±12.4 | 0.137 |
| Cause of surgery | |||||
| Benign | 27 (30.7) | 3 (75.0) | 23 (76.7) | 1 (1.9) | < 0.001 |
| Malignant | 61 (69.3) | 1 (25.0) | 7 (23.3) | 53 (98.1) | |
| History | |||||
| Duration/months | 5.5 (0.1-132.0) | 38.5 (0.1-120.0) | 6.0 (0.1-132.0) | 4.0 (0.3-50.0) | 0.237 |
| Cholangitis | 69 (78.4) | 3 (75.0) | 25 (83.3) | 41 (75.9) | 0.728 |
| Alcohol | 25 (28.4) | 0 (0) | 10 (33.3) | 15 (27.8) | 0.385 |
| Hypertension | 15 (17.0) | 0 (0) | 5 (16.7) | 10 (18.5) | 0.644 |
| Diabetes | 24 (27.3) | 0 (0) | 7 (23.3) | 17 (31.5) | 0.338 |
| Hospitalization/d | 9.0 (3.0-60.0) | 8.5 (5.0-11.0) | 10.0 (5.0-28.0) | 8.0 (3.0-60.0) | 0.514 |
| ERCP procedure | |||||
| Anesthesia | 85 (96.6) | 2 (50.0) | 29 (96.7) | 54 (100.0) | < 0.001 |
| Successful 1st entry | 58 (65.9) | 4 (100.0) | 12 (40.0) | 42 (77.8) | < 0.001 |
| Successful 2nd entry | 11 (12.5) | - | 6 (20.0) | 5 (9.3) | 0.363 |
| Successful entry | 62 (70.5) | 4 (100.0) | 13 (43.3) | 45 (83.3) | < 0.001 |
| Endoscopy used in cannulation | 0.359 | ||||
| GE | 3 (4.8) | 0 (0) | 0 (0) | 3 (6.7) | |
| DE | 4 (6.5) | 3 (75.0) | 1 (7.7) | 0 (0) | |
| CE | 49 (79.0) | 0 (0) | 8 (61.5) | 41 (91.1) | |
| SBE/DBE | 4 (6.5) | 0 (0) | 4 (30.8) | 0 (0) | |
| DCE/PTC | 2 (3.2) | 1 (25.0) | 0 (0) | 1 (2.2) | |
| Cannulating technique | 0.031 | ||||
| Standard | 50 (80.6) | 4 (100.0) | 7 (53.8) | 39 (86.7) | |
| Change endoscope | 11 (17.7) | 0 (0) | 6 (46.2) | 5 (11.1) | |
| PTC assistant | 1 (1.6) | 0 (0) | 0 (0) | 1 (2.2) | |
| Successful cannulate | 57 (91.9) | 4 (100.0) | 11 (84.6) | 42 (93.3) | 0.508 |
| Successful ERCP | 56 (63.6) | 4 (100.0) | 10 (33.3) | 42 (77.8) | < 0.001 |
| Complications | |||||
| AP | 8 (9.2) | 0 (0) | 4 (13.3) | 4 (7.4) | < 0.001 |
| Infection | 13 (14.8) | 1 (25.0) | 4 (13.3) | 8 (14.8) | 0.845 |
| Bleeding | 3 (3.4) | 0 (0) | 0 (0) | 3 (5.6) | 0.396 |
| Perforation | 2 (2.3) | 0 (0) | 0 (0) | 2 (3.7) | 0.544 |
| CT consistency | 58 (65.9) | 2 (50.0) | 22 (73.3) | 34 (63.0) | 0.004 |
| MRCP consistency | 63 (71.6) | 3 (75.0) | 22 (73.3) | 38 (70.4) | 0.062 |