| 先天性胆总管囊肿再次手术 |
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| 引用本文： | 杨维良,邹小明,聂刚. 先天性胆总管囊肿再次手术[J]. 中国医师进修杂志, 2001, 24(7): 26-28 |
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| 作者姓名： | 杨维良 邹小明 聂刚 |
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| 作者单位： | 哈尔滨医科大学附属第二医院外科, |
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| 摘 要： | 目的探讨先天性胆总管囊肿再次手术原因及术式的选择.方法对15例先天性胆总管囊肿再次手术进行回顾性分析.结果再次手术的原因是囊肿切除发生癌变3例;囊肿未切除形成结石4例;囊肿或胆管与肠道吻合口狭窄6例;返流性胆管炎1例;未切除胆囊及复发性胆囊炎6例.术式有两种,一种为间置空肠胆管十二指肠吻合术,一种为胆管空肠Roux-en-Y型吻合术.结论应遵循彻底切除囊肿和切除胆囊,选择胆管空肠Roux-en-Y型吻合术是提高手术效果,防止返流性胆管炎和避免再次手术的重要环节.
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| 关 键 词： | 胆管囊肿 再次手术 病例分析 |
| 文章编号： | 1002-0764(2001)07-0026-03 |
| 修稿时间： | 2000-04-08 |
REOPERATIVE MANAGEMENT OF CONGENITAL BILE DUCT CYSTS |
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| Yang Weiliang,ZOU Xiaoming,NIE Gang. REOPERATIVE MANAGEMENT OF CONGENITAL BILE DUCT CYSTS[J]. Chinese Journal of Postgraduates of Medicine, 2001, 24(7): 26-28 |
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| Authors: | Yang Weiliang ZOU Xiaoming NIE Gang |
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| Abstract: | Objective Discussing reoperative reasons and selection of operation for congenital bile duct cysts.Method Retrospectively analyzing 15 reoperative patients for congenital bile duct cysts.Result Reoperative reasons include unresected cysts canceraztion (3 cases);unresected cysts calculogenesis (4 cases);anastomotic stoma between gut and cyst or bile duct stenosis (6 cases);reflux cholangitis(1 case);recurrence cholecystitis (6 cases).There are two kinds of operations,the first is interposed jejunal choledochoduodenostomy,the second is Rou-en-Y choledochojejunostomy.Conclusion Cysts and gallbladder must be resected totally,Roux-en-Y choledochojejunostomy can enhance effect of operation and prevent reflux cholangitis,this operation is very important for avoiding reoperation. |
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| Keywords: | bile duct cysts reoperation case analysis |
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