摘要
目的 :提高胆管狭窄的治疗水平。方法 :报告 2例胆管狭窄病人治疗后再手术的经过。结果 :1例损伤性胆管狭窄、1例Mirizzi综合征病人均用脐静脉修复 ,分别于术后半年及 2年出现狭窄复发 ,再行胆管 空肠Roux Y吻合治愈。结论 :用非胆道组织修补胆管取决于胆管缺损大小与奥迪氏括约肌功能正常与否。
Objective:To improve curing results of bile duct strictures.Methods:Two patients sufferred from bile duct strictures and the course of operative treatment were reported.Results:One patient sufferred from bile duct stricture has a relapse in six months postoperatively,which was repaired with umbilical vein because of common bile duct injury. Another patient sufferred from common bile duct stricture because of Mirizzi syndrome,whose stricture recurred in 24 month postoperatively,it was repaired by umbilical vein,both patients were undergone hepatic common duct-jejunum anastomosis,respectively. The results are excellant.Conclusion:Bile duct strictures repaired with nonbiliary tract tissues depends on size of breach of common bile duct and function state of Oddi's sphincter.
出处
《肝胆胰外科杂志》
CAS
2004年第1期46-48,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
狭窄
胆管
修复
脐静脉
stricture
bile duct
repaire
unbilical vein
