带蒂脐静脉瓣修补围手术期胆道损伤及远期疗效评估

Repairing and Evaluating of Long-term Effect of Bile Duct Injury With Pedicled Umbilical Vein Grafts in Peroperative Period

目的总结并评估带蒂脐静脉瓣在围手术期胆道损伤修补中的运用价值及远期疗效评估。方法对围手术期胆道损伤患者施行带蒂脐静脉瓣修补,并跟踪随访对其疗效进行评估。结果在13例患者中,胆管缺损超过胆管周径1/2者8例,未超过胆管周径1/2者5例,利用带蒂脐静脉瓣,分别采取两种手术方式对其进行修补,13例均随访3年以上,无再发胆漏、死亡病例。结论带蒂脐静脉瓣作为一种胆道修复的生理性自体材料在围手术期胆道损伤修补中的运用价值大,远期疗效好。

Objective To summarize and evaluate the applying value and long-term effect of bile duct injury with pediclod umbilical vein grafts in peroperative Period. Methods To carry out pedicled umbilical vein grafts for patients of bile duct injury in peroperative Period,and to evaluate the effect by follow up. Results 13 patients with bile duct injury were investigated,including 8 cases with the bile duct injury more than half of circumference,and the others less than half of circumference. Their bile ducts were repaired by two different operative methods with pedicled umbilical vein grafts. The follow-up period lasted for more than 3 years,and no patients had bile leakage and death. Conclusion Podicled umbilical vein grafts have a good applying value and long-term effect as a kind of autotogous substitute for bile duct reconstruction in preoperative period.