【摘要】 目的探讨医源性胆管损伤修复、重建后再狭窄的原因和治疗。方法回顾性分析我院12年收治的医源性胆管损伤171例,院外会诊18例,共180例,其中28例胆管损伤修复或重建后再狭窄,对其再狭窄的原因和治疗方法进行探讨。结果本组28例中 LC 13例,OC 15例经过再次手术,26例效果良好,另2例 LC 损伤,修复后再狭窄再手术后效果欠满意。结论胆管损伤重在预防,损伤后需及时正确处理,处理后再狭窄需再次手术矫正狭窄,大口吻合才能收到良好效果。更多还原

【Abstract】 Objective To explore the causes and management of the bile duct stricture after re- pair of iatrogenic damage.Methods The clinical data of 28 patients with bile duct stricture after repair of iatrogenic damage treated in our hospital in the past 12 years were retrospectively analyzed.Results For the 28 patients,the iatrogenic damage of the bile duct was caused by laparoscopic cholecystecto- my in 13 and open cholecystectomy in 15.Twenty-six patients recovered after re-operation and 2 had no satisfactory outcome.Conclusions It is important to prevent iatrogenic bile duct damage.If the damage occurs,it should be surgically repaired.The key to prevent bile duct stricture after repair of i- atrogenic damage is to re-conduct the standard Roux-en-Y hepaticojejunostomy and the stricture should be dilated in order that the stoma is large enough.更多还原