十二指肠乳头旁憩室合并阻塞性黄疸37例手术分析  

Surgical Analysis on Obstructive Jaundice Caused by Peripapillary Duodenal Diverticulum in 37 Cases

作　　者：田建国[1] 闫宏宪[1] 

机构地区：[1]河南省人民医院,河南郑州450003

出　　处：《河南科技大学学报（医学版）》2013年第4期251-253,共3页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的 探讨十二指肠乳头旁憩室合并阻塞性黄疸时的外科诊断和治疗.方法 回顾性分析2007～2012年河南省人民医院肝胆胰腺外科行十二指肠憩室化加十二指肠乳头部手术治疗37例病人的临床资料,对该手术相关内容进行归纳总结.结果 所有病人均行十二指肠憩室化手术,其中21例加行胆管空肠吻合术;16例行胆管切开T管引流和oddis括约肌切开.37例病人黄疸均消失,无胰腺炎、胆管系统感染.结论 根据患者具体病情及选择合理的手术方式是提高疗效的关键.Objective To investigate the obstructive jaundice in the Lemmel＇ s syndrome caused by peripapillary duodenal diverticulum, and the diagnosis and surgical treatment. Methods The clinical data of 37 cases of obstructive jaundice caused by peripapillary diverticulum were retrospectively reviewed, in which the surgical treatment were summarized. To improve and perfect the therapy, and decrease the complications in this disease. Results 37 cases underwent Duodenal diverticulum and subtotal gastrectomy （Billroth II）, in that 21 cases underwent cholangiojejunostomy and 16 cases underwent choiedochostomy with T-tube drainage and oddi sphincterotomy. Conclusions Obstructive jaundice caused by peripapillary diverticulum should be treated by duodenal diverticulum, which is a simple, safe and effective surgical procedure.

关 键 词：十二指乳头旁憩室 阻塞性黄疸 手术治疗 

分 类 号：R575[医药卫生—消化系统] R574.51[医药卫生—内科学]