摘要
目的探讨肝胆管结石病经解除梗阻，去除病灶后如何选择引流术，降低结石复发率。方法对1996—2003年术后无残留结石的86例肝胆管结石病例，所采取的不同引流方式和结石复发情况做统计分析。结果胆肠Roux—γ吻合组术后结石复发率明显高于保留Oddi括约肌的T形管引流组。结论胆肠Roux—γ吻合术本身不符合胆道生理，使肠液返流，致胆管慢性炎症，促使结石复发，选择该引流术应持慎重态度。
Objective To inquire the effects of differem drainages in surgery of hepatolithus for reducing the relapse. Methods Eighty- six patients with hepatolithus underwent different drainages from 1996 to 2003 were analysed. Results Calculus relapse rate in Roux-γ anastormosis group was obviously higher than that of remained Oddi sphincter T- tube drainage group. Conclusion The Roux-γ anastomosis is not discrepancy for human physiology. Back flow of intestinal secretion can make chronic inflammation in bile tube and stone relapse. The Roux - γ anastomosis should be selected carefully.
