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[急性胆囊炎的经十二指肠干预措施]

[Trans-duodenal interventions in acute cholecystitis].

作者信息

Kukosh M V, Burovkin B A, Gomozov G I

出版信息

Vestn Khir Im I I Grek. 1990 Jul;145(7):25-8.

PMID:2176381
Abstract

110 transduodenal interventions were performed on patients with acute cholecystitis complicated by choledocholithiasis and stenosis of the major duodenal papilla in 1981-85. Mechanical jaundice was diagnosed in 51 of them. Most of the patients were operated upon in the "cold" period. Papillosphincteroplasty was performed on 73 patients, papillosphincterotomy--on 17, transduodenal ++supra-papillary choledochoduodenoanastomosis--on 20 patients. A special probe was used during operation for the detection and dissection of the major duodenal papilla. Lethality after operation was 2.7%.

摘要

1981年至1985年期间,对患有急性胆囊炎合并胆总管结石及十二指肠主乳头狭窄的患者进行了110次经十二指肠干预治疗。其中51例被诊断为机械性黄疸。大多数患者在“非紧急”期接受手术。73例患者进行了乳头括约肌成形术,17例进行了乳头括约肌切开术,20例进行了经十二指肠++乳头上方胆总管十二指肠吻合术。手术期间使用特殊探头来检测和解剖十二指肠主乳头。术后死亡率为2.7%。

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