高位胆管空肠Roux-en-Y吻合术后吻合口狭窄再次手术治疗19例分析  

Non-planned reoperation for anastomotic stenosis after high bile duct jejunal Roux-en-Y anastomosis:a report of 19 cases

作　　者：王秋爽[1] 张爱民[1] 陈晓燕[1] 孙华文[1] Wang Qiushuang;Zhang Aimin;Chen Xiaoyan;Sun Huawen(Department of General Surgery ,Renmin Hospital of Wuhan University ,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院普外科,武汉430060

出　　处：《腹部外科》2018年第6期401-403,共3页Journal of Abdominal Surgery

摘　　要：目的探讨高位胆管空肠Roux-en-Y吻合术后吻合口狭窄再次手术的方法及临床意义。方法回顾性分析武汉大学人民医院19例高位胆管空肠Roux-en-Y吻合术后吻合口狭窄需再次手术治疗病人的临床资料。结果 19例病人均行吻合口重建手术,且术中、术后无死亡病例;术后仅有1例病人出现胆漏,2例病人出现胆管炎。结论针对胆管空肠Roux-en-Y吻合术后吻合口狭窄再次手术病人的实际情况及狭窄不同程度,结合CT或MRI等影像学检查结果制定针对性治疗方案,有助于提高手术成功率并改善病人恢复情况。Objective To discuss the method and clinical significance of non-planned reoperation for anastomotic stricture after Roux-en-Y anastomosis of high bile duct and jejunum.Methods The clinical data of 19 patients with anastomotic stricture after Roux-en-Y choledochojejunostomy who needed reoperation were analyzed.Results All 19 patients underwent anastomotic reconstruction without any death.In all patients,bile leakage occurred only in 1 patient and cholangitis occurred in 2 patients.Conclusions According to the actual situation of the patients with anastomotic stricture after Roux-enY choledochojejunostomy and the findings of CT or MRI,it is helpful to improve the success rate of the operation and the recovery of the patients.

关 键 词：吻合口狭窄 再次手术 手术重建 

分 类 号：R619[医药卫生—外科学]