间置空肠高位胆管十二指肠吻合人工乳头括约肌成形术  

Jejunal Interposition Choledochoduo—denostomy (JICD): Sphincteroplasty of Artificial Papilla

作　　者：郑硕云 寿志康 周海宽 

机构地区：[1]南京军区第175医院外一科

出　　处：《安徽医科大学学报》1990年第2期105-107,共3页Acta Universitatis Medicinalis Anhui

摘　　要：复发性胆管炎是复杂性胆管结石各式胆肠内引流术后常见的并发症,可能与失括约肌功能有关。为了防止肠液逆流,我们在间置空肠基础上,设计了一种乳头括约肌成形术。空肠十二指肠吻合前,在间置空肠远端,环剥2cm浆膜纵肌层折叠成1cm制作人工乳头,插入十二指肠降段。本文11例病人做了此手术,术后半个月进行测压和钡餐检查,结果重建胆道压平均1373Pa、十二指肠内压1015Pa,无1例钡剂返流。随访半年至2年半(平均1.5年)无1例复发性胆管炎,但尚需进一步研究。Recurrent cholangitis is the frequent complication, after various cholangio-enterostomies for complex eholelithiasis it may be related to loss of sphincter function. A Kind of sphincteroplasty of artificial papilla was designed on the basis of JICD to prevent intestial juice reflux. Before the anastomosis of the jejunum and duodenum the artifical sphincter was created by forming 1cm flaps after removing circumferential, 2 cm long segment of longitudinal musculature, from the interpositional telejejunum. The sphincter of papilla was inserted into second part of the duodenum. This paper reports 11 patients underwent this operation. Measurements of pressure and barium meal were made half month after operation. The average rebuilt—cholangiopressure is 1373 Pa and duodeno-Pressure is 1015 Pa. No barie reflux was observed. None of the patients followed up for 0.5～2.5 years(average 1.5 year) had recholangitis. But further studies are expected.

关 键 词：胆结石 胆管炎 括约肌成形术 

分 类 号：R657.405[医药卫生—外科学]