皮下盲袢在复杂性肝内胆管结石治疗中的运用(附11例)  

The Application of the Subcutaneous Blind-loop in Treatment of the complicated Intra-hepatic Bile Duct Calculus

作　　者：鱼国盛[1] 袁焱[1] 吴光华[1] 周新宇[1] 张伟兴[1] 徐唏[1] 

机构地区：[1]江苏省常州市肿瘤医院

出　　处：《黑龙江医学》1999年第5期5-6,共2页Heilongjiang Medical Journal

摘　　要：目的：为了解皮下盲袢在复杂性肝内胆管结石治疗中的作用，并评价其疗效。方法：对11例复杂性肝内胆管结石采用带盲袢的Roux－en－Y胆肠吻合术联合不同范围的肝切除术，术后经盲袢做介入性诊断和治疗。结果：附加皮下盲袢的Roux－en－Y胆肠吻合术疗效评价中优良率达91％，高于国内报道的85％。且皮下盲袢的建立在术后复查、造影、取石、冲洗、扩张、防止返流的发生具有独特的优越性。结论：建立皮下盲袢应是复杂性肝内胆管结石的治疗原则，值得推广和运用。Aim:To study the action of the subcutaneous blind - loop in treatment of the complicated intra - hepatic bile duct calculus and assess its curative effect. Methods:The different ranged hepatomy combined with Roux - en = - Y gallbladder - intestinal anatomosis were taken for 11 patients. The invasive diagnosis and treatment were undrgone wia blindloop post - operation. Results: There was advantage in postoperative reexamination, contrast study, distension and reflux prevention. The assessment of theis method was better than others (91 % ). Conclusion: To establish the subcutaneous blindloop should be the treatment principle of the complicated intra - hepatic bile duct calculus.

关 键 词：皮下 肝内胆管结石 治疗中 ROUX-EN-Y 胆肠吻合术 术后 介入性诊断 结论 优越性 推广 

分 类 号：R657[医药卫生—外科学] R735[医药卫生—临床医学]