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空肠肝管Roux-en-Y吻合加皮下盲袢治疗肝内胆管结石的体会

马魏

中国医学创新Issue(34):153-154,155,3.
中国医学创新Issue(34):153-154,155,3.DOI:10.3969/j.issn.1674-4985.2014.34.053

空肠肝管Roux-en-Y吻合加皮下盲袢治疗肝内胆管结石的体会

Experiences about Jejunum Roux-en-Y Anastomosis of Hepatic Duct of the Blind Loop in the Treatment of Hepatolithiasis Subcutaneous

马魏1

作者信息

  • 1. 江西省鹰潭市人民医院铁路分院 江西 鹰潭 335000
  • 折叠

摘要

Abstract

Objective:To investigate the clinical effect of jejunum Roux-en-Y anastomosis of hepatic duct subcutaneous blind loop in the treatment of hepatolithiasis. Method:32 cases of intrahepatic bile duct stone patients, were received subcutaneous blind loop type biliary enteric anastomosis of follow-up,clinical effect and operation situation, after the patients were observed.Result:32 patients symptoms were alleviated,the excellent and good rate were 100%;8 cases of residual stone and recurrence,the recurrence rate 25%,where in the bilioenteric anastomotic out of stones in 2 cases,the other 6 cases of skin incision subcutaneous blind loop for bile duct stone;cholangitis in 6 cases,the incidence was 19%. Conclusion:Subcutaneous blind loop of a permanent channel can puncture cholangiography,irrigation, drainage,but also small incision by choledochoscopy for bile duct stricture,expansion release,reduce the patients’ pain before operation.

关键词

胆管结石/皮下盲袢/胆肠吻合

Key words

Calculus of bile duct/Subcutaneous blind loop/Biliary enteric anastomosis

引用本文复制引用

马魏..空肠肝管Roux-en-Y吻合加皮下盲袢治疗肝内胆管结石的体会[J].中国医学创新,2014,(34):153-154,155,3.

中国医学创新

1674-4985

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