返流性胆管炎的病因及诊治  

Etiology and diagnosis and treatment experience of reflux cholangitis

作　　者：袁超杰 伍宏章 何仕青 曹健 黄俊明 

机构地区：[1]广东省台山市人民医院普外科,广东台山529200

出　　处：《广东医学院学报》2011年第2期140-142,共3页Journal of Guangdong Medical College

摘　　要：目的探讨返流性胆管炎的病因与诊治经验。方法回顾性分析42例返流性胆管炎的临床特点、手术方式和疗效。结果胆道返流的原因包括Oddi括约肌松弛(18例)、胆道重建术式不当或手术并发症(24例)。42例患者行胆管空肠Roux-en-Y吻合26例,胃部分切除、胃空肠吻合术10例,去除手术并发症6例;术后胆道感染症状消失32例,明显改善10例。结论胆肠吻合和Oddi括约肌松弛是胆道返流的主要原因,选择合适的胆道重建术可消除或减轻胆道感染症状。Objective To summarize the etiology and diagnosis and treatment experience of ascending cholangitis. Methods The clinical characteristics, surgical procedures and therapeutic efficacy of 42 patients with reflux cholangitis were retrospectively analyzed. Results The causes of enteric-biliary reflux included Oddi’s sphincter dilatation （18 cases） and improper techniques of biliary reconstruction or surgical complications （24 cases）. All patients underwent Roux-en-Y cholangiojejunostomy （26 cases）, partial gastrectomy plus gastrojejunostomy （10 cases）, and correction of operation complications （6 cases）. The symptoms of biliary infection disappeared postoperatively in 32 cases and alleviated in 10 ones. Conclusion The cholangiojejunostomy and Oddi’s sphincter dilatation are the main cause of enteric-biliary reflux. Suitable approaches of biliary reconstruction can eliminate or palliate means is the symptoms of bile duct infection.

关 键 词：返流性胆管炎 胆管空肠吻合术 ODDI括约肌 

分 类 号：R657.45[医药卫生—外科学]