| 摘要: |
| ［摘要］ 目的 分析带血管蒂胆囊瓣修复胆管狭窄患者的临床疗效。方法 选取该院肝胆外科住院的胆管狭窄患者110例，按随机单双号法分为观察组和对照组各55例，对照组术中取尽胆管结石，酌情切除肝叶、肝段，修正胆管狭窄后行胆肠Roux-en-Y吻合；观察组取尽结石同上，探查胆道，行带血管蒂胆囊瓣修复或改行胆肠内引流，置入T形管引流。结果 术后1年随访，观察组胆管狭窄再发率、结石复发率及并发症发生率（上消化道溃疡、反流性胆管炎、胆道感染、胆总管下端盲袢综合征等）均低于对照组，差异均有统计学意义（P<0.05）。结论 对胆管狭窄的患者采用带血管蒂胆囊瓣进行修复，能降低结石复发率、胆管再狭窄率及并发症发生率，达到畅通引流的目的，疗效安全可靠，值得临床推广。 |
| 关键词: 带血管蒂胆囊瓣 胆管狭窄 胆肠吻合术 |
| DOI：10.3969/j.issn.1674-3806.2017.09.07 |
| 分类号:R 657.4 |
| 基金项目:广西卫计委科研课题（编号：Z2012691） |
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| Analysis of curative effect of repairing bile duct stricture using pedicled cholecyst graft |
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ZHENG Da-wu, LUO Yong-xiang, LAO Jing-mao, et al.
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Department of General Surgery, the First People′s Hospital of Qinzhou City, Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the curative effect of repairing bile duct stricture using pedicled cholecyst graft.Methods A total of 110 patients with cholangiocarcinoma were enrolled in this study. They were randomly divided into the observation group(n=55) and the control group(n=55). The control group was treated with cholangio lithotomy and bile Roux-en-Y anastomosis. The observation group received the same treatment as the control group plus the repair of bile duct stricture using pedicled cholecyst graft, T-tube insertion and bile intestinal drainage.Results After a follow-up of one year, the recurrence rate of bile duct stricture in the observation group was significantly lower than that in the control group, and the recurrence rate of cholelithiasie in the observation group was lower than that in the control group. The incidence of complications(including upper gastrointestinal ulcer, reflux cholangitis and biliary tract infection) in the observation group was lower than that in the control group(P<0.05).Conclusion Pedicled cholecyst graft is safe and effective for the patients with bile duct stenosis. |
| Key words: Pedicled cholecyst graft Bile duct stenosis Choledochojejunostomy |
