中国普外基础与临床杂志
中國普外基礎與臨床雜誌
중국보외기출여림상잡지
CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY
2001年
2期
81-82，100
,共3页
原发性硬化性胆管炎%胆管空肠吻合术%肝移植
原髮性硬化性膽管炎%膽管空腸吻閤術%肝移植
원발성경화성담관염%담관공장문합술%간이식
目的 探讨原发性硬化性胆管炎诊断治疗方案。方法 对我院外科1972～1998年经放射学检测和手术病理确诊的原发性硬化性胆管炎24例患者进行回顾性研究。结果 24例中按Thompson分型属Ⅰ型1例；Ⅱ型5例；Ⅲ型10例；Ⅳ型8例。手术方法为胆囊切除加T管引流8例；胆管空肠Roux-en-Y吻合12例；U管支撑引流4例。术后随访2～18年，全组各型总死亡率为25%(6/24)。结论 早期诊断和手术能解决胆汁引流入肠。当病变严重、肝功能恶化时，应尽早考虑肝移植。
目的 探討原髮性硬化性膽管炎診斷治療方案。方法 對我院外科1972～1998年經放射學檢測和手術病理確診的原髮性硬化性膽管炎24例患者進行迴顧性研究。結果 24例中按Thompson分型屬Ⅰ型1例；Ⅱ型5例；Ⅲ型10例；Ⅳ型8例。手術方法為膽囊切除加T管引流8例；膽管空腸Roux-en-Y吻閤12例；U管支撐引流4例。術後隨訪2～18年，全組各型總死亡率為25%(6/24)。結論 早期診斷和手術能解決膽汁引流入腸。噹病變嚴重、肝功能噁化時，應儘早攷慮肝移植。
목적 탐토원발성경화성담관염진단치료방안。방법 대아원외과1972～1998년경방사학검측화수술병리학진적원발성경화성담관염24례환자진행회고성연구。결과 24례중안Thompson분형속Ⅰ형1례；Ⅱ형5례；Ⅲ형10례；Ⅳ형8례。수술방법위담낭절제가T관인류8례；담관공장Roux-en-Y문합12례；U관지탱인류4례。술후수방2～18년，전조각형총사망솔위25%(6/24)。결론 조기진단화수술능해결담즙인류입장。당병변엄중、간공능악화시，응진조고필간이식。
Objective To explore the diagnostic and treating scheme ofprimary sclerotic cholangitis. Methods 24 cases of primary sclerotic cholangitis identified by radiological and pathological examinations from 1972 to 1998 were analysed retrospectively. According to Thompson, 1 case was classified as type Ⅰ, 5 cases were type Ⅱ, 10 cases were type Ⅲ and 8 cases were type Ⅳ. The operation were as follows,resection of gallbladder plus T tube drainage in 8 cases, plus Roux-en-Y anastomosis of bile duct and jejunum in 12 cases, plus U tube stent and drainage in 4 cases. Results The total mortality rate was 25% (6/24) in 2～18 years follow-up after operation. Conclusion Early diagnosis and operation may resolve the drainage of bile into the jejunum. When serious lesions and worse liver functions exist, liver transplantation should be considered.
