Postrelov N A, Kiselev A I, Kiakkinen A I, Vasiliev P N, Zus' B A
Vestn Khir Im I I Grek. 1988 Mar;140(3):35-9.
Results of 62 reconstructive and restorative operations performed on 47 patients with scarry strictures and injuries of main bile ducts are analyzed. A group of 17 patients was chosen, a spare transhepatic drain being used in 18 operations. It was established that bougieurage, dilatation of the strictures and a continuous frame drainage with the stricture of hepaticocholedochus as long as 20 mm or recurrent strictures of hepaticojejunoanastomosis provided stabilization of scarring and epithelization of the stricture zone. A favorable result of the treatment is determined by the duration of the frame drainage not less than for 2 years.
分析了对47例主胆管瘢痕性狭窄和损伤患者进行的62次重建和修复手术的结果。选取了17例患者组成一组，在18次手术中使用了备用经肝引流管。结果表明，对于长达20毫米的肝总管狭窄或肝空肠吻合口复发性狭窄，进行探条扩张、狭窄部扩张以及连续支架引流可使狭窄部位的瘢痕形成和上皮化稳定。治疗效果良好取决于支架引流持续时间不少于2年。
