【摘要】 本文通过98例中的81例随诊分析,探讨了影响胆肠内引流术疗效的因素。除因存在解剖缺陷致疗效差的胆囊肠吻合和括约肌切开术外,其它术式对疗效并无显著影响。肠胆返流仅为胆管炎发作提供了外因,影响疗效的确切内因除吻合口狭窄外,在我国肝胆管结石特别是肝胆管狭窄更具重要性。显然,这也是疗效比欧美差的主要原因。据此,提出应根据我国胆石症的这一特点合理地应用胆肠内引流术。更多还原

【Abstract】 In order to approach the factors affecting its results, biliaryintestinal drainage was studied through the analyses of eighty-one of 98 cases which were followed up for 1-19 years. There were no noticeable differences among the results of various operations besides cholecysto-enterostomy and sphincterotomy due to its anatomical defect. The reflux of the intestinal content only a factor leading to cholangitis. and the speciality of intrahepatic calculi frequently associated with ductal stenesis in our country would be the main cause of poor results except the stricture of anastomosis. That was why operative results were not as good as those in Western countries. In the light of this fact, we suggest that. the utilization of biliary-intestinal drainage must be determined by the condition of cholelithiasis in different individuals.更多还原