CAJ | 학술논문

目的观察切割球囊治疗胆肠吻合口良性狭窄的效果,评价其临床价值.方法回顾性分析我院应用CB治疗胆肠吻合口良性狭窄的12例患者资料.所有患者均因梗阻性黄疸或反复胆道感染行MRI或经皮经肝胆道造影(percutaneous transhepatic cholangiography,PTC)明确胆肠吻合口狭窄,行切割球囊吻合口成形术;术后胆道造影提示胆道通畅后拔除引流管,并随访1年.结果 12例患者均手术成功,黄疸、胆道感染均好转.3例患者出现短期并发症.随访1年内,1例患者肿瘤复发,2例患者出现胆管结石伴胆道感染,经对症处理后好转. 结论切割球囊治疗胆肠吻合口狭窄安全、有效、微创.
목적 관찰절할구낭치료담장문합구량성협착적효과,평개기림상개치.방법 회고성분석아원응용CB치료담장문합구량성협착적12례환자자료.소유환자균인경조성황달혹반복담도감염행MRI혹경피경간담도조영(percutaneous transhepatic cholangiography,PTC)명학담장문합구협착,행절할구낭문합구성형술;술후담도조영제시담도통창후발제인류관,병수방1년.결과 12례환자균수술성공,황달、담도감염균호전.3례환자출현단기병발증.수방1년내,1례환자종류복발,2례환자출현담관결석반담도감염,경대증처리후호전. 결론 절할구낭치료담장문합구협착안전、유효、미창.
Objective To investigate the early outcome of cutting balloon (PCB) in the management of hepatoenterostomy stricture.Methods The clinical data of 12 cases of supposed benign anastomotic strictures after hepatoenterostomy were retrospectively studied.Hepatic duct jejunal anastomotic stricture was confirmed by MRI or PTC,and patients underwent anastomosis plastic repair by CB.Biliary drains tube were removed when free flow of the contrast material through the anastomosis was observed by cholangiography at least 2 weeks postoperative.The follow-up period was 1 year.Results Cutting balloon procedures were successful in all the 12 cases.The symptoms of jaundice and infection were abated.3 cases suffered from postoperative transient complications.On follow up,1 patient died of tumor recurrence,2 patients reported biliary calculi associated with actue cholangitis which were relieved after corresponding treatment.Conclusions Cutting balloon repair of the biliary-enteric anastomotic strictures is a safe,reliable and minitraumatic procedure.