目的 探討原發(fā)性硬化性膽管炎診斷治療方案。
方法 對我院外科1972~1998年經(jīng)放射學(xué)檢測和手術(shù)病理確診的原發(fā)性硬化性膽管炎24例患者進行回顧性研究。
結(jié)果 24例中按Thompson分型屬Ⅰ型1例; Ⅱ型5例; Ⅲ型10例; Ⅳ型8例。手術(shù)方法為膽囊切除加T管引流8例; 膽管空腸Roux-en-Y吻合12例; U管支撐引流4例。術(shù)后隨訪2~18年,全組各型總死亡率為25%(6/24)。
結(jié)論 早期診斷和手術(shù)能解決膽汁引流入腸。當病變嚴重、肝功能惡化時,應(yīng)盡早考慮肝移植。
引用本文: 夏亮芳. 原發(fā)性硬化性膽管炎(附24例報告). 中國普外基礎(chǔ)與臨床雜志, 2001, 8(2): 81-82下轉(zhuǎn)100. doi: 復(fù)制
版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《中國普外基礎(chǔ)與臨床雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編
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2. | Lemmer ER, Bornman PC, Krige EJ, et al. Primary sclerosing cholangitis——requiem for biliary drainage operations [J]? Arch Surg,1994; 129(7)∶723. |
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4. | Werlin SL, Gilcklich M, Jona J, et al. Sclerosing cholangitis in childhood [J]. J Pediatr, 1980, 96(4)∶433. |
5. | Myers RH, Cooper JH. Primary sclerosing cholangitis: Complete gross and hietologic recersal after long time steriod therapy [J]. Am J Grastroenterology, 1970; 53(5)∶527. |
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- 1. Thompson HH, Pitt HA, Tomplsins RK, et al. Primary sclerosing cholangitis: A haterogenous disease [J]. Ann Surg, 1982; 196(2)∶127.
- 2. Lemmer ER, Bornman PC, Krige EJ, et al. Primary sclerosing cholangitis——requiem for biliary drainage operations [J]? Arch Surg,1994; 129(7)∶723.
- 3. Ismail T, Angrisani L, Powell JE, et al. Primary aclerosing cholangitis:options, prognostic variable and outcome [J]. Surgery, 1991, 78(5):564.
- 4. Werlin SL, Gilcklich M, Jona J, et al. Sclerosing cholangitis in childhood [J]. J Pediatr, 1980, 96(4)∶433.
- 5. Myers RH, Cooper JH. Primary sclerosing cholangitis: Complete gross and hietologic recersal after long time steriod therapy [J]. Am J Grastroenterology, 1970; 53(5)∶527.
- 6. 傅德良,張延齡.原發(fā)性硬化性膽管炎病例的免疫異常.國外醫(yī)學(xué)外科學(xué)分冊,1990; 15(3)∶123.
- 7. 黃志強主編.現(xiàn)代腹部外科學(xué) [M].第1版.長沙:湖南科技出版社,1994:482~483.
- 8. 夏亮芳.阻塞性黃疸診斷的進展[J].普外臨床,1991; 6(1)∶23.