CAJ | 학술논문

目的：探讨经皮经肝胆管穿刺引流术（ PTCD）联合球囊扩张术治疗胆肠吻合术后吻合口狭窄的可行性及疗效。方法回顾性分析军事医学科学院附属医院普外科2009年3月至2011年12月采用PTCD联合球囊扩张术治疗胆肠吻合术后吻合口狭窄23例的疗效，评估胆道通畅程度、黄疸指数及肝功能。结果本组行PTCD联合球囊扩张术23例，19例治疗效果明显，1例植入金属支架。术后胆肠吻合口狭窄、黄疸指数及肝功能均明显改善，无严重并发症发生。结论 PTCD联合球囊扩张术治疗胆肠吻合术后吻合口狭窄疗效好，并发症发生率低，是较为安全可行的微创治疗措施。
목적：탐토경피경간담관천자인류술（ PTCD）연합구낭확장술치료담장문합술후문합구협착적가행성급료효。방법회고성분석군사의학과학원부속의원보외과2009년3월지2011년12월채용PTCD연합구낭확장술치료담장문합술후문합구협착23례적료효，평고담도통창정도、황달지수급간공능。결과본조행PTCD연합구낭확장술23례，19례치료효과명현，1례식입금속지가。술후담장문합구협착、황달지수급간공능균명현개선，무엄중병발증발생。결론 PTCD연합구낭확장술치료담장문합술후문합구협착료효호，병발증발생솔저，시교위안전가행적미창치료조시。
Objective To evaluate the effect and feasibility of balloon dilatation for treatment of anastomotic stricture after biliary-intestinal anastomosis with percutaneous transhepatic cholangial drainage( PTCD) .Methods A total of 23 pa-tients with anastomotic stricture after biliary-intestinal anastomosis who had undergone PTCD+balloon dilatation were ana-lyzed retrospectively between Mar 2009 to Dec 2011.The patency of bile duct, jaundice index and liver function were recor-ded.Results PTCD+balloon dilatation was completed successfully in all cases, and a metallic stent was implanted in one case.Anastomotic stricture, postoperative jaundice index and liver function were improved significantly after operation.No serious complications occurred.Conclusion PTCD+balloon dilatation has good curative effect on anastomotic stricture. The complication rate is low.It is a safe, feasible and effective minimally invasive treatment.