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成人先天性胆总管扩张症(Ⅰ型)12例临床分析

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摘要 目的探讨成人先天性胆总管扩张症(Ⅰ型)的临床特点和手术方法。方法 12例成人先天性胆总管扩张症(Ⅰ型)患者,均接受病变段胆管黏膜完整剥离切除、肝总管空肠Roux-en-Y端侧吻合术。对患者的临床资料进行回顾性分析。结果 12例均顺利完成手术。术后发生胆漏1例,经充分引流9 d,胆漏痊愈。全部患者获1-5 a随访,1例患者偶有胆道感染发作,1-2次/a,经抗菌素治疗2-3/d后,症状得到控制,其余患者恢复良好。结论对成人先天性胆总管扩张症(Ⅰ型)患者,实施病变段胆管黏膜完整剥离切除、肝总管空肠Roux-en-Y吻合术,效果满意。
作者 田立功
出处 《河南外科学杂志》 2015年第2期69-70,共2页 Henan Journal of Surgery
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