十二指肠乳头旁憩室伴胆胰疾病的外科治疗(附21例分析)  

Surgical Treatment for the Parapapillary Duodenal Diverticula Associated with Pancreaticobiliary Diseases

作　　者：孙益红[1] 戈少云[1] 秦新裕[1] 王承棓 

机构地区：[1]复旦大学附属中山医院普外科,上海200032

出　　处：《中国临床医学》2001年第6期607-608,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :探讨十二指肠乳头旁憩室伴胆胰疾病的手术治疗方法及疗效。方法 :回顾性分析 1980年 1月～ 1999年 6月间手术治疗的 2 1例十二指肠乳头旁憩室伴胆胰疾病患者的临床表现、手术方法及疗效。结果 :2 1例中 15例在胆道手术的同时加行憩室切除术 ,另 5例行BillrothⅡ式胃切除和 (或 )胆总管 -空肠Roux -en -Y吻合术。术后 19例获得随访 ,随访期 2～ 17年 ,疗效优良率 89.5 %。结论 :应重视乳头旁憩室与胆胰疾病的关系。对伴有胆胰疾病的乳头旁憩室的外科处理应持积极的态度 ,憩室切除术是首选的治疗方法。Objective: To investigate the methods and effectiveness of surgical treatment for the parapapillary duodenal diverticula associated with pancreaticobiliary diseases. Methods: The clinical data of 21 cases undergoing surgery from Jan. 1980 to Jun. 1999 were analyzed retrospectively. Results: Diverticulectomies and biliary operations were performed in fifteen patients.Billroth-Ⅱ gastrectomy and/or Roux-en-Y choledochojejunostomy were performed in 6 patients. Nineteen patients were fellowed up for 2 to 17 years, the results were satisfactory in 89.5% of cases. Conclusion: More attention should be paid to the association between parapapillary duodenal diverticula and pancreatiobiliary diseases. We propose that surgery for the diverticulum should be performed in patients who have both parapapillary duodenal diverticula and pancreaticobiliary diseases,and that diverticulectomy is the treatment of choice for most of the patients.

关 键 词：十二指肠乳头旁憩室 胆胰疾病 并发症 外科手术 

分 类 号：R656.64[医药卫生—外科学] R657.4[医药卫生—临床医学]