胆管对端吻合治疗损伤性胆管狭窄的应用要点  

Key points of excision of the traumatic stricture with end-to-end anastomosis for the treatment of post-operative stricture of extrahepatic bile duct

作　　者：俞文隆[1] 史嵩[1] 杨珏[1] 张永杰[1] 

机构地区：[1]第二军医大学附属东方肝胆外科医院,上海200438

出　　处：《肝胆胰外科杂志》2008年第5期316-318,共3页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的总结胆管对端吻合术治疗损伤性胆管狭窄的技术要点。方法回顾性分析行狭窄段切除、胆管对端吻合治疗的14例BismuthⅠ、Ⅱ型损伤性胆管狭窄。结果患者均取得了较好的术后疗效,未见胆管炎、胆管狭窄或结石复发。结论对于损伤性胆管狭窄,行胆管对端吻合是较理想的手术方式,但治疗要取得成功则取决于精细的手术操作及正确的术后管理。Objective To summarize the key points of excision of the traumatic stricture with end-to- end anastomosis for treating post-operative stricture of extrahepatic bile duct. Methods Fourteen cases of Bismuth Ⅰ or ⅡI type traumatic biliary stricture who underwent excision of the stricture with end-to-end anasto- mosis were analysed retrospectively. Results These patients got good effects. Cholangitis, biliary restenosis or bile stones were not detected in follow-up cases. Conclusion Excision of the stricture with end-to-end anastomosis is the best operative method for traumatic extrahepatic bile duct stenosis, but the key to a successful outcome includes both careful operative technique and proper management.

关 键 词：损伤性胆管狭窄 对端吻合 外科手术 

分 类 号：R657.4[医药卫生—外科学]