摘要
目的探讨十二指肠乳头旁憩室与梗阻性黄疸的关系。方法回顾分析十二指肠乳头旁憩室致梗阻性黄疸2 5例患者的临床资料。结果2 5例均经内镜逆行胰胆管造影(ERCP)检查确诊,其中手术治疗2 0例,术式均为胆总管探查、T管引流、毕II式胃大部分切除术、旷置十二指肠,术后恢复均良好;非手术治疗5例,虽均于症状消退后出院,但随访均出现症状反复发作。结论十二指肠乳头旁憩室可致梗阻性黄疸,ERCP检查可以明确诊断,治疗上均应采用手术治疗,胆总管探查、T管引流、毕II式胃大部分切除十二指肠旷置术,是简单、合理、安全、有效的术式。
Objective To investigate the relationship between peripapillary duodenal diverticulum and obstructive jaundice, and the diagnosis and treatment for this clinical entity. Methods The clinical data of 25 cases of obstructive jaundice caused by peripapillary diverticulum were retrospectively reviewed. Results All cases were diagnosed definitively by endoscopic retrograde cholangiopancreatography （ERCP）. 20 cases underwent cholodochostomy with T-tube drainage and subtotal gastrectomy （Billroth Ⅱ） and recovered, and 5 cases were cured by nonoperative therapy and discharged asymptomatically, but followup showed they had recurrent attacks of symptoms. Conclusions Obstructive jaundice caused by peripapillary diverticulum can be definitively diagnosed by ERCP, and should be treated by choledochostomy, T tube drainage and subtotal gastrectomy （Billroth Ⅱ ） , which is a simple, rational, safe and effective surgical procedure.
出处
《中国普通外科杂志》
CAS
CSCD
2006年第3期218-220,共3页
China Journal of General Surgery
