带蒂脐静脉瓣胆道修复  

Bile duct reconstruction with pedicled umbilical vein graft

作　　者：蔡景修[1] 董家鸿[1] 别平[1] 王曙光[1] 陈平[1] 顾红光[1] 李智华[1] 刘吉奎[1] 

机构地区：[1]第三军医大学西南医院全军肝胆外科研究所,重庆市400038

出　　处：《中华肝胆外科杂志》2004年第2期83-85,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　进一步总结带蒂脐静脉瓣胆道修复的临床经验和远期随访结果。方法　第一种术式 ,胆管上下端后壁对端吻合 ,前壁纵行切开 ,其缺损以带蒂脐静脉瓣修复 2 1例 ;第二种术式 ,胆管狭窄切开、整形 ,胆管缺损以带蒂脐静脉瓣修复 18例。结果　本组无死亡病例。术后达 7年以上 2 5例 ,其中再手术 3例 ,术后 7～ 12年ERCP 9例 ,双剂量静脉胆道造影 1例 ,胆道显影均正常 ;轻度胆管炎 2例 ;另 10例无任何症状 ,B超胆道未见异常。结论　带蒂脐静脉瓣胆道修复是一种理想的胆道修复手术。Objective To further summarize the experience in bile duct reconstruction with pedicled umbilical vein graft and analyze its long-term follow-up results. Methods In 21 patients, end-to-end anastomosis between the posterior walls of the bile duct, longitudinal sectioning of the anterior walls and repair of the defects of the bile duct with pedicled umbilical vein graft were performed. In other 18 patients, the biliary tract was cut open for stricture and then the defects of the bile duct was repaired with the pedicled umbilical vein graft. Results There was no peri-operative death. Twenty-five patients had survived for over 7 years after the operation. Normal bile tract was shown by endoscopic retrograde cholangiopancreatography (ERCP) in 9 cases and venous cholangiography in 1 case. Two patients had slight symptoms of cholangitis. No abnormal symptoms and ultrasonic findings were found in other 10 patients. Conclusions Bile duct reconstruction with pedicled umbilical vain graft is a good procedure for repair of bile duct defects.

关 键 词：脐静脉 胆道 修复 切开 术式 术后 远期随访 

分 类 号：R657.4[医药卫生—外科学]