Zhao F K
Xiantao First People's Hospital, Hubei.
Zhonghua Wai Ke Za Zhi. 1990 Apr;28(4):209-10, 252.
Twenty patients underwent enlarged choledocho-duodenostomy in the treatment of bile duct residual stones, stones lodged in hepatobiliary ducts, muddy calculi or distal stenosis of the common bile duct. Postoperative courses were all uneventful. Twenty one up to fourty one months follow-up found all patients well nourished and back to their original work. Postoperative duodenoscopy done in 17 cases found perianastomatic inflammation in 5, upper GI barium study revealed regurgitation in 4. B-model ultrasonography showed the extraction of residual stones. It is the author's belief that this procedure has the advantage of avoiding the "cul-de-sac" and bile stasis, hence preventing reflux and retrograde infection as well as its safety and easy performing.
20例患者接受了扩大胆总管十二指肠吻合术，用于治疗胆管残余结石、嵌顿于肝胆管的结石、泥砂样结石或胆总管远端狭窄。术后病程均顺利。21至41个月的随访发现所有患者营养状况良好并恢复原工作。17例行术后十二指肠镜检查，5例发现吻合口周围炎症，上消化道钡餐检查4例显示有反流。B型超声检查显示残余结石已取出。作者认为该手术具有避免“盲端”和胆汁淤积的优点，从而防止反流和逆行感染，且安全、操作简便。
