中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
Chinese Journal of Hepatobiliary Surgery
2015年
9期
612-615
,共4页
胆肠吻合口狭窄%再手术%预防
膽腸吻閤口狹窄%再手術%預防
담장문합구협착%재수술%예방
Cholangioenterostomy anastomosis stenosis%Reoperation%Prevention
目的 探讨胆肠吻合口狭窄的手术处理及狭窄相关因素.方法 回顾性分析解放军总医院2008年1月至2014年11月收治的41例因胆肠吻合口狭窄再次于我院接受手术治疗患者的临床资料.结果 经再次手术治疗后,所有患者临床症状均得到缓解,顺利出院,无一例围术期死亡.随访发现5例再次出现狭窄.结论 胆肠吻合口狭窄再次手术难度较大,应在第一次手术时做较大吻合口从而降低狭窄风险.必要时放置T管.
目的 探討膽腸吻閤口狹窄的手術處理及狹窄相關因素.方法 迴顧性分析解放軍總醫院2008年1月至2014年11月收治的41例因膽腸吻閤口狹窄再次于我院接受手術治療患者的臨床資料.結果 經再次手術治療後,所有患者臨床癥狀均得到緩解,順利齣院,無一例圍術期死亡.隨訪髮現5例再次齣現狹窄.結論 膽腸吻閤口狹窄再次手術難度較大,應在第一次手術時做較大吻閤口從而降低狹窄風險.必要時放置T管.
목적 탐토담장문합구협착적수술처리급협착상관인소.방법 회고성분석해방군총의원2008년1월지2014년11월수치적41례인담장문합구협착재차우아원접수수술치료환자적림상자료.결과 경재차수술치료후,소유환자림상증상균득도완해,순리출원,무일례위술기사망.수방발현5례재차출현협착.결론 담장문합구협착재차수술난도교대,응재제일차수술시주교대문합구종이강저협착풍험.필요시방치T관.
Objective To study the surgical treatment and the related risk factors of cholangioenterostomy anastomotic stenosis.Methods We retrospectively analysed the clinical data of 41 patients who underwent surgical treatment for cholangioenterostomy anastomotic stenosis in the PLA General Hospital from January 1,2008 to November 30,2014.Results All patients' clinical symptoms were alleviated and they were discharged home.No one died perioperatively.Anastomotic restenosis happened in 5 patients.Conclusions Reoperation for cholangioenterostomy anastomotic stenosis was difficult.The surgeon should make the anastomosis as large as possible to decrease the risk of restenosis.A T tube should be used when necessary.
