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自身组织补片修复胆管缺损(坏死)
引用本文:杨一邨,杨森华,康欣,冯涛修. 自身组织补片修复胆管缺损(坏死)[J]. 中华肝胆外科杂志, 2007, 13(4): 233-234
作者姓名:杨一邨  杨森华  康欣  冯涛修
作者单位:1. 610031,四川省,成都市第三人民医院肝胆外科
2. 成都市双流县第二人民医院外科
摘    要:
目的了解自身组织补片修复胆管狭窄切开后缺损或炎变所致坏死的疗效。方法补片取自保留血供的空肠和胆囊壁以及网膜。藉临床表达、T管胆道造影、B超等评估用于胆管缺损修复6例和炎性坏死3例的疗效。结果该9例术后3~4个月至10~18年被修复胆管胆汁通畅、管径正常。结论本方法与胆肠内引流相比,保留了胆道自然通道,维持正常解剖和生理功能,近远期疗效肯定。

关 键 词:胆管缺损 自身组织 补片 修复 胆管坏死
修稿时间:2006-02-27

Repair of defect/necrosis of bile duct wall by auto-tissue patches
YANG Yi-cun, KANG Xin, YANG Sen-hua ,et al.. Repair of defect/necrosis of bile duct wall by auto-tissue patches[J]. Chinese Journal of Hepatobiliary Surgery, 2007, 13(4): 233-234
Authors:YANG Yi-cun   KANG Xin   YANG Sen-hua   et al.
Affiliation:Department of Hepatobiliary Surgery, the Third peoples Hospital of Chengdu city, Chengdu 610031, P. R. China
Abstract:
Objective To investigate the repairing effects of auto-tissue patches on the biliary defect after bile duct incision or its necrosis due to inflammatory reaction. Methods The auto-tissue patches were extracted from jejunal and cholecystic wall and from omentum with preserved blood supply. To estimate the effects of these patches for repairing biliary stenosis in 6 cases and necrosis in 3 respectively by clinical manifestations, postoperative T tube cholangiography and B-mode ultrasonography. Results The repaired bile ducts of these 9 cases maintained free and normal caliber postoperatively from short duration of 3-4 months to long term of 10-18 years. Conclusion Compared with the bilio-enteric internal drainage, this method is simpler and easier to perform and can keep the natural biliary passages and maintain normal anatomic and physiologic function for a long time.
Keywords:Bile duct defect   Auto-tissue   Patch   Repair   Bile duct necrosis
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