自体组织修复肝门部胆管良性狭窄

Self-tissue repair for benign stricture of portal hepatic duct

目的 总结应用自体组织修复肝门部胆管良性狭窄的经验。方法 回顾分析我院自1989-2002年应用带蒂胆囊壁瓣修复肝门部胆管良性狭窄33例,应用肝圆韧带修复肝总管狭窄2例。结果35例术后无明显胆瘘、出血等并发症,无手术死亡。术后T管造影显示无狭窄。术后30例(30/35)随访2个月至12年,仅有2例因术后胆管炎发作,经非手术治愈,收到良好效果。结论应用自体组织带蒂胆囊壁瓣及肝圆韧带修复肝门部胆管良性狭窄符合生理性,取材方便,操作简便,效果良好。

Objective To summarize the experience in using self-tissue repair for benign stricture of portal hepatic duct. Methods The clinical data of 33 patients with benign stricture of the portal hepatic duct repaired by pedicled valve of gallbladder and 2 with stricture of the common hepatic duct repaired by ligamentum teres hepatis were retrospectively analyzed. Results There were no complications of bile leakage and hemorrhage and operative death in the 35 patients. Postoperative T-tube cholangiography showed no obstruction. All the patients were followed up for 2 months to 12 years. Only 2 patients had cholangitis after the operation and they were non-operatively cured. Conclusions The treatment of using pedicled valve of gallbladder and ligamentum teres hepatis to repair benign stricture of the portal hepatic duct is physiologically compatible, convenient and effective.