皮下通道型胆囊肝胆管成形术治疗肝胆管结石和胆管狭窄的临床研究  

Clinical effects of subcutaneous tunnel and hepatocholangioplasty with the use of gallbladder in the treatment of hepatocholelithiasis and biliary stenosis

作　　者：王雨[1] 田伏洲[1] 汤礼军[1] 张晓琼[1] 李旭[1] 赵铁军[1] 张炳印[1] 

机构地区：[1]成都军区总医院全军普外中心,四川成都610083

出　　处：《四川医学》2001年第11期983-984,共2页Sichuan Medical Journal

摘　　要：目的　总结皮下通道型胆囊肝胆管成形术的临床效果。方法　统计了 1994年以来我院 76例行 STHG手术患者的适应症、临床效果及术后早期并发症。并选择同期实施的 12 5例行传统胆肠吻合 ( CJ)的患者进行对照。结果　STHG的手术适应症与传统胆肠吻合基本相同 ;STHG组患者的手术时间、住院时间、术中出血量明显少于 CJ组 ,术后恢复良好 ,仅 2例次发生并发症。结论　该术式既保存了胆囊及 Oddi括约肌功能 ,又保证了胆汁的生理流向 ;防止了肠液的反流 ,所以避免了消化功能紊乱 ,防止了反流性胆管炎 ,对患者的影响小 ,是一种较为理想的治疗肝胆管结石和肝门胆管狭窄的术式。Objective To summarize the clinical effects of subcutaneous tunnel and hepatocholangioplasty with the use of gallbladder(STHG)in the treatment of hepatocholelithiasis and biliary stenosis.Methods The data on the indications,clinical effects and complications of STHG performed on 76 patients from Dec.1994 to June 2001 were collected and analyzed.The medical records of one hundred and twenty five patients who submitted to conventional choledochojejunostomy(CJ)during the same period were selected for comparison.Results The indications of STHG were similar to those of CJ.Compared with the patients in CJ group,the patients who experienced STHG had shorter operation time,shorter hospitalization time,less bleeding,better recovery and less complications.Conclusion This operation(STHG) not only keeps the normal physiological function of gallbladder and Oddi sphincter,but also maintains the physiological way of bile fluid and prevents intestinal juice reflux.In this way,STHG can ward off the risk of dysfunction of GI tract and the occurrence of refluent cholangitis.So STHG is a novel and more satisfactory operation for hepatocholelithiasis and biliary stenosis.

关 键 词：胆道外科手术 胆结石 胆管狭窄 胆囊肝胆管成形术 

分 类 号：R657.4[医药卫生—外科学]