摘要
目的 探讨医源性高位胆管损伤后狭窄的处理方法 ,以期提高疗效、减少并发症。方法 对 2 3年中 183例医源性胆管损伤病例资料进行回顾性分析 ,以修复后再手术作为判断疗效标准。结果 183例中有 173例行不同方式修复术 ,有 14 4例因高位胆管狭窄再行 1～ 5次手术 ,再手术率 83 .2 4% ( 14 4/173 )。结论 采用狭窄以上正常胆管进行胆肠Roux Y吻合术 ,注意吻合方法和质量 ,可减少术后胆管再狭窄复发的发生率 。
Objective In order to improve the curative effect and reduce the complication,the surgical treatment of biliary stenosis induced by iatrogenic high bile duct injury was investigated.Methods 183 cases of iatrogenic bile duct injury in recent 23 years were reviewed and analyzed.Reoperation after plerosis served as the standard of effect judgement.Results 173 out of all 183 cases received different restorations.144 cases received another 1-5 reoperations because of high bile duct stenosis.The re-operation rate was 83.24% (144/173).Conclusion Roux-y Cholangio-jejunostomy using normal bile duct above stenosis site, taking care of anastomosis methods and quality,can reduce recurrent rate of bile duct re-stenosis and improve curative effect.
出处
《临床外科杂志》
2004年第3期143-144,共2页
Journal of Clinical Surgery
关键词
胆管损伤
医源性
修复术
狭窄
injury of bile duct
iatrogenic
repair operation
stenosis
