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題 名 | 氣球導管擴張術治療肝內肝管狹窄及膽道腸吻合口狹窄 |
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作 者 | 詹益銀; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:4 1988.07[民77.07] |
頁 次 | 頁414-420 |
分類號 | 416.247 |
關鍵詞 | 氣球導管擴張術; 肝內肝管狹窄; 膽道腸吻合口狹窄; |
語 文 | 中文(Chinese) |
中文摘要 | 良性膽道狹窄的手術治療一直是外科醫師的一大挑戰,尤其膽道腸吻合口狹窄及肝內肝管狹窄因解剖位置及術後粘連更是外科手術技術上的難題,氣球導管擴張術提供了另一種非手術性的治療法。 本報告使用Grüntzig氣球導管經T形管瘻管或經皮經肝瘻管擴張治療13例良性膽道狹窄其中2例有2處狹窄。13例膽道狹窄包括總肝管空腸吻合口狹窄6例、右側肝管狹窄3例、左側肝管狹窄3例及1例總膽管十二指腸吻合口狹窄。13例膽道狹窄中11例併有肝內結石。13位病人的15處狹窄經Grüntzig氣球導管擴張後93%(14/15)之狹窄口經膽道攝影及膽道鏡追蹤梭查顯示有明顯的擴張。91%(10/11)之肝內結石經膽道鏡取石治療完全成功。經擴張狹窄及取石治療成功後11位病人將引流管拔除,追蹤6個月至3年期間有1例(9%)曾再度發生膽管炎經入院抗生素治療痊癒。 |
英文摘要 | Surgical reconstruction of benign biliary duct strictures presents a high challenge to the surgeon. Biliary-enteric anastomosis and intrahepatic duct strictures have an unsatisfactory prognosis because repair is often technically difficult, has a high failure rate and often results in mortality. Balloon dilatation offers as a non-operative alternative method to surgery. This paper presents the results of balloon dilatation in 13 patients with 15 benign bile duct strictures, via the T-tube fistula or transhepatic route. The patients were 7 men and 6 women; age ranged from 24 to 63 years old. The sites of strictures were: hepatojejunostomy in six, right intrahepatic duct in four, left intrahepatic duct in four and one choledochoduodenostomy. Eleven out of 13 patients with bile duct strictures had intrahepatic stones. Ninety-three percent (14/15) of the strictures were successful dilated by the Gruntzig balloon catheter. Follow-up cholangiogram or choledochoscope revealed good patency of biliary tree. Ninety-one percent (10/11) of the intrahepatic stones were removed completely by the choledochoscope. No major complication was found during balloon dilatation, except tolerable wound pain. One patient (1/11) developed acute cholangitis after the drain tube was removed in follow-up during a six month to three year period. Balloon dilatation for biliary-enteric anastomosis and intrahepatic duct strictures is a non-surgical, simple and effective procedure. Incidence of restenosis of the bile duct after dilatation needs long-term follow up. |
本系統中英文摘要資訊取自各篇刊載內容。