【摘要】 目的探讨多肝段月牙形切除肝断面空肠内引流治疗高位恶性胆道梗阻的疗效。方法对25例高位恶性胆道梗阻患者行多肝段月牙形切除肝断面空肠内引流术并随访。结果术后并发应激性溃疡出血12例,无吻合口瘘及腹腔感染的出现,亦无死亡病例。术后两周黄疸明显减轻17例,完全消失10例。随访25例,术后生存期最短5个月,最长31个月,至今存活5例,生存期分别达20、17、13、9和5个月。结论该术式引流多段胆管、引流范围较广,减黄效果明显,是治疗高位恶性胆道梗阻有效而且可行的姑息性术式。更多还原

【Abstract】 Objective To study the efficacy of hepatojejunostomy of multiple segmental semilunar hepatic section for the treatment of upper mulignant biliary obstruction.Methods From september 2000 to now,25 cases with upper malignant biliary obstruction received hepatojejunostomy were analyzed retrospectively.Results Among them,bleeding of stress ulcer was occurred in 12 cases and there were no death,anastomotic leakage and abdominal infection after significantly in 17 cases and the jaundice was disappeared completely in 10 cases.25 cases were followed up.The shortest survival period was 5 months and the longest was 31 months.Up to now,5 cases were still alive with survival period of 20,17,13,9 and 5 months respectively.Conclusions This operative procedure is extensive in drainage and it is an effective and feasible palliative operation for the treatmnet of upper malignant biliary obstruction.更多还原