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目的:探讨十二指肠乳头旁憩室致梗阻性黄疸的病因、诊断和治疗。方法:回顾总结我院1980 年~1997年收治的十二指肠乳头旁憩室患者15 例。结果:全部治愈,其中1例术后出现胆瘘,经保守治疗痊愈。结论:憩室切除术易误伤胰胆管,而胃部分切除、胃空肠Roux-Y吻合术联合胆道口括约肌成形术则安全有效。
Objective: To investigate the etiology, diagnosis and treatment of obstructive jaundice caused by duodenal papillary diverticulum. Methods: To review and summarize 15 cases of duodenal papillary diverticulum admitted from 1980 to 1997 in our hospital. Results: All were cured, including 1 case of biliary fistula after surgery, cured by conservative treatment. Conclusion: Diverticulum resection is easy to cause injury to the pancreaticobiliary duct, while partial resection of the stomach and jejunum Roux-Y anastomosis combined with biliary sphincteroplasty is safe and effective.