CAJ | 학술논문

目的探讨单纯胆总管下段狭窄的手术方法选择.方法回顾性分析山东潍坊市人民医院2003年10月至2009年6月收治的43例单纯胆总管下段狭窄病人资料.43例中,12例行内窥镜下括约肌切开术(EST),9例手术行Oddis括约肌切开成形术,5例行胰十二指肠切除术,8例行胆总管-空肠R-Y吻合,5例行胆总管-十二指肠吻合,4例胆道探查扩张后"T"管引流.结果未行根治的37例病人有6例于术后5～19个月出现占位性病变,5例再次行胰十二指肠切除术.结论单纯胆总管下段狭窄临床应慎重处理.
목적 탐토단순담총관하단협착적수술방법선택.방법 회고성분석산동유방시인민의원2003년10월지2009년6월수치적43례단순담총관하단협착병인자료.43례중,12례행내규경하괄약기절개술(EST),9례수술행Oddis괄약기절개성형술,5례행이십이지장절제술,8례행담총관-공장R-Y문합,5례행담총관-십이지장문합,4례담도탐사확장후"T"관인류.결과 미행근치적37례병인유6례우술후5～19개월출현점위성병변,5례재차행이십이지장절제술.결론 단순담총관하단협착림상응신중처리.
Objective To explore the clinical selection of surgical methods for pure stenosis at the end of the common bile duct.Methods The clinical data of 43 cases of pure stenosis at the end of the common bile duct treated in this hospital from October 2003 to June 2009 were retrospectively analyzed.Of the 43 cases, 12 underwent endoscopic sphincterotomy(EST), 9 sphincteroplasty of Oddi, 5 pancreaticoduodenectomy,8 Roux-en-y choledochojejunostomy and 5 choledocoduodenostomy,4 underwent drainage of the T tube after exploration of the biliary passage.Results Among 37 patients did not undergo the radical pancreaticoduodenectomy,6 had space-occupying lesions 5-19 months postoperatively.Five of them received pancreaticoduodenectomy again.Conclusion Pure stenosis at the end of the common bile duct should be carefully managed.