摘要
目的分析带血管蒂胆囊瓣修复胆管狭窄患者的临床疗效。方法选取该院肝胆外科住院的胆管狭窄患者110例,按随机单双号法分为观察组和对照组各55例,对照组术中取尽胆管结石,酌情切除肝叶、肝段,修正胆管狭窄后行胆肠Roux-en-Y吻合;观察组取尽结石同上,探查胆道,行带血管蒂胆囊瓣修复或改行胆肠内引流,置入T形管引流。结果术后1年随访,观察组胆管狭窄再发率、结石复发率及并发症发生率(上消化道溃疡、反流性胆管炎、胆道感染、胆总管下端盲袢综合征等)均低于对照组,差异均有统计学意义(P<0.05)。结论对胆管狭窄的患者采用带血管蒂胆囊瓣进行修复,能降低结石复发率、胆管再狭窄率及并发症发生率,达到畅通引流的目的,疗效安全可靠,值得临床推广。
Objective To investigate the curative effect of repairing bile duct stricture using pedicled chole- cyst graft. Methods A total of 110 patients with cholangiocarcinoma were enrolled in this study. They were randomly divided into the observation group （n = 55 ） and the control group （n = 55 ）. The control group was treated with cholangio lithotomy and bile Roux-en-Y anastomosis. The observation group received the same treatment as the control group plus the repair of bile duct stricture using pedicled cholecyst graft, T-tube insertion and bile intestinal drain- age. Results After a follow-up of one year, the recurrence rate of bile duct stricture in the observation group was sig- nificantly lower than that in the control group, and the recurrence rate of cholelithiasie in the observation group was lower than that in the control group. The incidence of complications （ including upper gastrointestinal ulcer, reflux cholangitis and biliary tract infection） in the observation group was lower than that in the control group（ P 〈 0. 05 ）. Conclusion Pedicled cholecyst graft is safe and effective for the patients with bile duct stenosis.
出处
《中国临床新医学》
2017年第9期854-856,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西卫计委科研课题(编号:Z2012691)
关键词
带血管蒂胆囊瓣
胆管狭窄
胆肠吻合术
Pedicled cholecyst graft
Bile duct stenosis
Choledochojejunostomy
