带血管蒂空肠瓣修复胆管狭窄的临床应用

Repair of bile duct stricture with pedicled jejunal graft

目的 :报道用带血管蒂空肠瓣修复胆管狭窄的手术方法。方法 :采用带血管蒂空肠瓣修复胆管狭窄 17例 ,采用带血管蒂空肠段行肝胆管桥式吻合 9例。结果 :本组除 3例术后并发胆瘘行外引流在 2周内治愈外 ,其余 2 3例均获满意效果。结论 :本术式具有防止胆汁返流和逆行感染、保持肝外胆管生理机能及保持胆汁的正常pH环境等优点。

Objective:To discuss the operation method of repairin g strictured b ile duct using pedicled jejunal graft.Methods:Seventeen cases of bile duct stric ture were repaired using the vascularized jejunal graft.Nine cases were repaired by the bridge anastomosis of a jejunal section pedicled with base blood vessel. Results: Tuenty-three cases were cured successfully by p rimary operation,and 3 cases accomp anied with choleric fistula were cured after simple outside drainage in two week s.Conclusions:The method of operation may prevent reflux in biliary tract and re flux infection,preserve the physiologic function of extrahepatic bile ducts,and keep the normal environment of biliary pH and so on.