摘要
目的 :探讨损伤性肝外胆管狭窄外科治疗的效果。方法 :回顾分析 2 5例损伤性肝外胆管狭窄的临床资料。结果 :全组 2 5例中 ,高位狭窄 13例 ,中段狭窄 11例 ,下段狭窄 1例。有 2 2例施行肝胆肠空肠Roux Y吻合术 ,2例施行肝胆管十二指肠间置空肠吻合术 ,仅 1例施行胆总管十二指肠侧侧吻合术。有 3例发生短暂性吻合口胆瘘 ,经负压吸引治愈。无死亡率。全组均随访 1年 ,10例随访 5年以上 ,效果良好。结论 :在胆管急性炎症控制后一个月内尽早手术为妥 ,手术方式以肝胆管空肠Roux Y吻合术为佳。
Objective:To evaluate the effectiveness of surgical treatment of traumatic extrahepatic bile duct stricture.Methods:A retrospective analysis of the clinical data of traumatic extrahepatic bile duct stricture in 25 cases was made.Results:High stricture was found in 13 cases,mid stricture in 11 cases and lower stricture in one case. The Roux Y hepaticocholangiojejunostomy were performed in 22 cases,hepaticocholangioduodenostomy with jejunum interposition in 2 and side to side choledochoduodenostomy in 1 case. There was transient anastomotic leak in three cases,but were cured by negative pressure drainage. Follow up for one year in all cases and for 5 years in 10 cases proves good.Conclusion:The operation should be performed within one month after acute cholangeitis was controled and the best operation mode was Roux Y hepatico cholangiojejunostomy.
出处
《肝胆胰外科杂志》
CAS
2001年第1期14-15,共2页
Journal of Hepatopancreatobiliary Surgery
关键词
创伤
损伤
胆管狭窄
外科手术
治疗
wounds and injuries
bile duct stricture
surgery operative
