肝管空肠宫颈式吻合术在胆道重建中的应用

Practice of hepaticojejunostomy in cervical style to rebuild biliary tract

目的 :探讨胆道重建后抗反流的方法。方法 :本组 32例 ,男 11例 ,女 2 1例 ,年龄 10d～ 14岁 ,在胆道重建中 ,均采用肝管空肠宫颈式吻合术式。结果 :32例均痊愈出院。随访 3个月～ 8a ,均未见腹痛、黄疸、发热。其中 2 4例患儿经B超检查 ,未见胆管狭窄及扩张。X线钡餐检查 ,未见有钡剂反流入胆管。结论 :肝管空肠宫颈式吻合术在胆道重建中有较好的抗反流作用。

Aim:To study the anti-reflux method after rebuilt biliary tract.Methods:A total of 32 children(male 11,famale 21) were rebuilt biliary tract by hepaticojejunostomy in cervical style.Their ages ranged from 10 days to 14 years.Results:The followed-up for 3 months to 8 years showed that all cases had a satisfactory recovery without abdominal pain,jaundice or fever.The B-ultrasound and barium meal examination of 24 cases demonstrated no stenosis of biliary tract,cholangiectasis or barium reflux.Conclusion:Hepaticojejunostomy in cervical style is a feasible method for anti-reflux in rebuilding biliary tract.