单纯胆总管下段狭窄临床治疗选择：附43例报告  

Clinical selection of surgical methods for pure stenosis at the end of common bile duct： a report of 43 cases

作　　者：李加起[1] 李森[1] 杜福田[1] 庄冠一[1] 李春友[1] 董承伟[1] 郭玉林[1] 

机构地区：[1]潍坊市人民医院肝胆外科,山东省261041

出　　处：《中华肝胆外科杂志》2010年第11期820-822,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的 探讨单纯胆总管下段狭窄的手术方法选择.方法 回顾性分析山东潍坊市人民医院2003年10月至2009年6月收治的43例单纯胆总管下段狭窄病人资料.43例中,12例行内窥镜下括约肌切开术（EST）,9例手术行Oddis括约肌切开成形术,5例行胰十二指肠切除术,8例行胆总管-空肠R-Y吻合,5例行胆总管-十二指肠吻合,4例胆道探查扩张后＂T＂管引流.结果 未行根治的37例病人有6例于术后5～19个月出现占位性病变,5例再次行胰十二指肠切除术.结论 单纯胆总管下段狭窄临床应慎重处理.Objective To explore the clinical selection of surgical methods for pure stenosis at the end of the common bile duct.Methods The clinical data of 43 cases of pure stenosis at the end of the common bile duct treated in this hospital from October 2003 to June 2009 were retrospectively analyzed.Of the 43 cases, 12 underwent endoscopic sphincterotomy（EST）, 9 sphincteroplasty of Oddi, 5 pancreaticoduodenectomy,8 Roux-en-y choledochojejunostomy and 5 choledocoduodenostomy,4 underwent drainage of the T tube after exploration of the biliary passage.Results Among 37 patients did not undergo the radical pancreaticoduodenectomy,6 had space-occupying lesions 5-19 months postoperatively.Five of them received pancreaticoduodenectomy again.Conclusion Pure stenosis at the end of the common bile duct should be carefully managed.

关 键 词：胆总管 狭窄 外科手术 

分 类 号：R686[医药卫生—骨科学]