摘要
报道肝圆韧带修复肝外胆管整段缺损的临床应用。修复方法 :修整断端胆管 ,离断肝圆韧带远端 ,剖开脐静脉索 ,将脐静脉螺旋绕缝成稍长于缺损之管道 ,带蒂转移至缺损处 ,与胆管断端桥接吻合。放置支撑管 12个月。临床应用本法治疗肝外胆管整段缺损 5例 ,缺损段长度 2～ 4cm。术后 4例拔支撑管后经 2～ 6年随访 ,效果满意。 1例术后并发胆管狭窄 ,重行胆肠吻合。认为肝圆韧带切取及带蒂转移方便 ,脐静脉壁与胆管壁结构相似 。
The clinical application experience of repairing a large segment defect of extrahepatic bile duct with round ligament of liver is reported. Methods and steps as: ①to trim the broken bile duct, ②to free the distal end of the round ligament of liver, ③to section the fossa venae umbilicalis, ④to suture the umbilical veins spirally into a pedunculated canal a little bit longer than the broken duct and bridge the anastomosis with the duct. The support canal remained for 12 months. Five patients with the whole segement defect (2～4cm) of extrahepatic bile duct received this treatment. After the support canal was taken out, 4 cases got satisfactory results after 2～6 years follow-up. One underwent biliary and intestinal anastomosis again because of the complication of a bile duct stricture. The round ligament of liver is easily freed and transferable. Due to structural similarities between umbilical vein and bile duct walls, this proves to be a good substitute for repairing bile duct defects.
出处
《右江民族医学院学报》
2000年第6期866-868,共3页
Journal of Youjiang Medical University for Nationalities
关键词
肝圆韧带
胆道缺损
修复术
肝外胆管
bile ducts, extrahepatic
biliary surgery
tissue transplantation
wounds and injuries
round ligament of liver
biliary tract defect
