摘要
目的 探讨原发性硬化性胆管炎诊断治疗方案。方法 对我院外科 1972～ 1998年经放射学检测和手术病理确诊的原发性硬化性胆管炎 2 4例患者进行回顾性研究。结果 2 4例中按Thompson分型属Ⅰ型 1例 ;Ⅱ型 5例 ;Ⅲ型 10例 ;Ⅳ型 8例。手术方法为胆囊切除加T管引流 8例 ;胆管空肠Roux en Y吻合 12例 ;U管支撑引流 4例。术后随访 2～ 18年 ,全组各型总死亡率为 2 5 % (6/2 4)。结论 早期诊断和手术能解决胆汁引流入肠。当病变严重、肝功能恶化时 ,应尽早考虑肝移植。
Objective\ To explore the diagnostic and treating scheme of primary sclerotic cholangitis. Methods\ 24 cases of primary sclerotic cholangitis identified by radiological and pathological examinations from 1972 to 1998 were analysed retrospectively. According to Thompson, 1 case was classified as type Ⅰ, 5 cases were type Ⅱ, 10 cases were type Ⅲ and 8 cases were type Ⅳ. The operation were as follows,resection of gallbladder plus T tube drainage in 8 cases, plus Roux-en-Y anastomosis of bile duct and jejunum in 12 cases, plus U tube stent and drainage in 4 cases. Results\ The total mortality rate was 25% (6/24) in 2～18 years follow-up after operation. Conclusion\ Early diagnosis and operation may resolve the drainage of bile into the jejunum. When serious lesions and worse liver functions exist, liver transplantation should be considered.
出处
《中国普外基础与临床杂志》
CAS
2001年第2期81-82,100,共3页
Chinese Journal of Bases and Clinics In General Surgery
