间置空肠胆肠吻合术的改进

THE IMPROVEMENT OF JEJUNAL INTERPOSITION CHOLANGIO JEJUNOSTOMY

目的 探讨改良的间置空肠胆肠吻合术的疗效及价值。方法 采用间置空肠套迭、人工乳头成形、胆肠吻合术治疗８ 例多发性胆管结石患者。结果 术后全部病例 Ｔ管内无食糜返流。术后３～６ 个月行钡餐检查，均无钡剂返流至套迭以上或近端间置空肠。随访４～１５ 个月，无胆管炎症状。至今未见结石复发。结论 本术式间置肠襻短，抗肠胆返流效果好，是比较理想的一种胆肠内引流术式。

Objective To discuss the therapeutic effectiveness and value of modified jejunal interposition cholangio jejunostomy. Methods Eight cases of multiple cholelithiasis were treated with jejunal interposition intussuscpetion,manual papillary formation or cholangio jejunostomy. Result No chyme was found in the “T”shaped tubes of all the cases.Barium meals were carried out 3-6 month after operation,no baralymeregurgitation was found upwards intussusception or proximal interpositum jejunum.Follow up 4-15 Month,no symtom of cholangitis was found,and there's no relapse up to date.Conclusion interposition ansa intestinalis of this operation was shot thus block the regurgitation well.So it's a ideal operation of cholangio-jejunal interanal drainage.