肝胆胰外科杂志2024，Vol.36Issue(8)：459-462,467,5.DOI:10.11952/j.issn.1007-1954.2024.08.003
经皮球囊扩张联合引流管支撑治疗胆总管囊肿切除术后胆肠吻合口狭窄
Effect of percutaneous balloon dilatation combined with drainage tube stenting for biliary-enteric anastomotic stricture after choledochal cyst resection
摘要
Abstract
Objective To explore the clinical value of percutaneous balloon dilatation combined with drainage tube stenting for biliary-enteric anastomotic stricture after choledochal cyst resection.Methods A retrospective analysis was conducted on the clinical data of 6 patients with biliary-enteric anastomotic stricture after choledochal cyst resection,who admitted in Zhongshan Hospital Affiliated to Dalian University between Feb.2018 and Jun.2023,and then received percutaneous balloon dilatation combined with drainage tube stenting.The postoperative clinical symptoms and liver function were observed,and the cholangioscopy examination was used to assess the stricture at the anastomotic site.Results All the 6 patients underwent percutaneous transhepatic cholangial drainage and fistula dilatation successfully.Endoscopy examination identified 4 cases of simple anastomotic stricture,2 cases of anastomotic stricture complicated with intrahepatic bile duct stones,and the intrahepatic bile duct stones in 2 cases were cleared by multiple endoscopy operations.Balloon dilatation of the strictured biliary-enteric anastomosis was successfully performed in all 6 patients,with external drainage tube removed after 6-7 months.Cholangioscopy examination revealed normal mucosa in 5 cases and mucosal edema with relative stricture in 1 case,who was warranted further drainage tube support for additional 3 months.Follow-up periods ranged from 10 to 74 months,with no case of anastomotic stricture recurrence.Conclusion For biliary-enteric anastomotic stricture after choledochal cyst resection,percutaneous balloon dilatation combined with drainage tube stenting is a minimally invasive and effective treatment method,with low postoperative complication rate.关键词
先天性胆总管囊肿/胆肠吻合口狭窄/经皮肝穿刺胆管引流/球囊扩张/胆道镜Key words
congenital choledochal cyst/biliary-enteric anastomotic stricture/percutaneous transhepatic cholangial drainage/balloon dilatation/choledochoscopy分类
医药卫生引用本文复制引用
张坤,林美举,马跃峰,张洪威,常宏亮,王向男..经皮球囊扩张联合引流管支撑治疗胆总管囊肿切除术后胆肠吻合口狭窄[J].肝胆胰外科杂志,2024,36(8):459-462,467,5.基金项目
登峰计划医学重点专科建设项目(2021243). （2021243）
