目的总结胆总管探查术中对其下端狭窄和医源性穿通伤的处理经验。方法对我院1994~2001年行胆总管探查术发现下端狭窄和发生医源性穿通伤病例15例进行回顾性分析。结果11例处理恰当,疗效好; 4例处理错误,发生穿通伤而行胆总管十二指肠吻合,疗效差。结论术中发现胆总管下端狭窄应行术中造影或胆道镜检查以明确原因,切不可盲目用探条探查。若发生胆总管下端穿通伤应行穿孔修补、T管引流,有结石嵌顿者同时行Oddi’s括约肌切开取石。
Citation: 熊晓林. MANAGEMENT OF DISTAL STRICTURE AND IATROGENIC INJURY TO THE COMMON BILE DUCT IN CHOLEDOCHOTOMY WITH EXPLORATION. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(2): 128-128. doi: Copy