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目的为提高对胆总管末端良性狭窄的认识,做出正确诊断和治疗。方法回顾性分析我院1983年以来收治的32例胆总管末端良性狭窄的临床诊治资料,胆囊切除术后7例,胆囊切除并胆道探查术后19例,胆源性胰腺炎术后3例,慢性胰腺炎3例。作肝胰壶腹括约肌切开成形术7例,胆肠内引流术14例,内窥镜下括约肌切开术(EST)8例,3例拒绝手术。结果术后并发胆漏1例,十二指肠漏1例。治愈28例,死亡1例。手术效果满意。结论临床医生应提高对胆总管末端良性狭窄的认识。
Objective To improve the understanding of benign ends of common bile duct, make correct diagnosis and treatment. Methods The clinical data of 32 cases with benign common bile duct stenosis admitted to our hospital from 1983 were retrospectively analyzed. Among them, 7 cases underwent cholecystectomy, 19 cases underwent cholecystectomy and biliary tract exploration, 3 cases after biliary pancreatitis, 3 cases of chronic pancreatitis. Hepatic pancreatectomy sphincterotomy in 7 cases, bile duct drainage in 14 cases, endoscopic sphincterotomy (EST) in 8 cases, 3 cases refused surgery. Results postoperative bile leakage in 1 case, 1 case of duodenal leakage. 28 cases were cured and 1 died. Satisfactory results. Conclusion Clinicians should raise awareness of the benign end of common bile duct stenosis.