术后胆道镜下柱状气囊扩张治疗胆管炎性狭窄  

Postoperative Columnar Balloon Dilation under Cholangioscope in the Treatment of Inflammatory Biliary Stenosis

作　　者：庞勇[1] 张炳印[1] 田伏洲[1] 汤礼军[1] 

机构地区：[1]成都军区总医院全军普通外科中心微创外科,610083

出　　处：《西南军医》2011年第6期969-970,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的探讨术后胆道镜下柱状气囊扩张治疗胆管炎性狭窄的方法和疗效。方法先明确胆管狭窄的部位和类型,在胆道镜直视下通过T管窦道循导丝将柱状气囊定位于狭窄部进行扩张并观察疗效。结果 37例病人共56处狭窄,38处膜状狭窄,气囊单次扩张后狭窄即消失;15处管状狭窄,留置气囊渐进扩张两周后解除狭窄;3处吻合口狭窄2处经单次扩张1处经留置气囊渐进扩张后狭窄消失。无严重并发症。结论柱状气囊扩张是术后胆道镜下治疗胆管炎性狭窄的安全和有效的方法。对于膜状狭窄,气囊单次扩张效果满意;对于管状狭窄,建议留置气囊渐进扩张。Objective To discuss the operation and curative effect of postoperative columnar balloon dilation under cholangioscope in the treatment of inflammatory biliary stenosis.Methods The site and type of the biliary stenosis were first made clear and the columnar bolloon was located at the stenosis site guided by T-tube implanting and releasing guide wire to make the dilation under cholangioscope;the curative effect was observed.Results Out of the 56 stenosis in 37 cases,there were 38 membraniform stenosis,which disappeared with only one act of balloon dilation,15 tubular stenosis,which disappeared 2 weeks after the progressive dilation by the indwelling balloon,3 anastomotic tubular stenosis,1 of which was dilated with only one act while 2 of which were progressively dilated by the indrwelling ballon;no severe complications occurred.Conclusions Postoperative columnar balloon dilation under cholangioscope is of safe effect in the treatment of inflammatory biliary stenosis,only one act of balloon dilation can gain satisfactory effect in membraniform stenosis while progressive dilation by indwelling balloon is suggested for tubular stenosis.

关 键 词：胆管镜 胆管狭窄 气囊扩张 

分 类 号：R657.45[医药卫生—外科学]