摘要
目的：探讨先天性胆总管囊肿再次手术原因及术式的选择。方法：对15例先天性胆总管囊肿再次手术进行回顾性分析。结果：再次手术的原因是囊肿切除发生癌变3例；囊肿未切除形成结石4例；囊肿或胆管与肠道吻合口狭窄6例；返流性胆管炎1例；未切除胆囊及复发性胆囊炎6例。术式有两种，一种为间置空肠胆管十二指肠吻合术，一种为胆管空肠Roux-en-Y型吻合术。结论：应遵循彻底切除囊肿和切除胆囊，选择胆管空肠Roux-en-Y型吻合术是提高手术效果，防止返流性胆管炎和避免再次手术的重要环节。
Objective\ Discussing reoperative reasons and selection of operation for congenital bile duct cysts.Method\ Retrospectively analyzing 15 reoperative patients for congenital bile duct cysts.Result\ Reoperative reasons include unresected cysts canceraztion (3 cases);unresected cysts calculogenesis (4 cases);anastomotic stoma between gut and cyst or bile duct stenosis (6 cases);reflux cholangitis(1 case);recurrence cholecystitis (6 cases).There are two kinds of operations,the first is interposed jejunal choledochoduodenostomy,the second is Rou-en-Y choledochojejunostomy.Conclusion\ Cysts and gallbladder must be resected totally,Roux-en-Y choledochojejunostomy can enhance effect of operation and prevent reflux cholangitis,this operation is very important for avoiding reoperation.
出处
《医师进修杂志》
北大核心
2001年第7期26-28,共3页
Journal of Postgraduates of Medicine
