Shi E C, Ham J M
Aust N Z J Surg. 1980 Oct;50(5):488-92. doi: 10.1111/j.1445-2197.1980.tb04176.x.
A series of twenty-seven patients with benign non-traumatic biliary strictures is presented. Fifteen strictures were associated with chronic pancreatitis, and were typically long, tapered strictures of the intrapancreatic portion of the common bile duct. Twelve were associated with choledocholithiasis; these were usually short-segment and occurred both above and below stones in the duct. These strictures are important surgically, since they may produce pain, cholestasis and cholangitis, stone formation, and biliary cirrhosis. They may be difficult to distinguish from bile duct or pancreatic carcinomas. In the patients with chronic pancreatitis, treatment by biliary bypass was effective in the presence of cholestasis, but was ineffective for chronic pain. Treatment by biliary bypass or sphincteroplasty was highly effective in those patients with choledocholithiasis.
本文报告了27例良性非创伤性胆管狭窄患者。15例狭窄与慢性胰腺炎相关，通常为胆总管胰腺内段的长而逐渐变细的狭窄。12例与胆总管结石相关；这些通常为短节段狭窄，发生在胆管结石的上方和下方。这些狭窄在手术中很重要，因为它们可能导致疼痛、胆汁淤积和胆管炎、结石形成以及胆汁性肝硬化。它们可能难以与胆管癌或胰腺癌区分开来。在慢性胰腺炎患者中，胆管旁路手术在存在胆汁淤积时有效，但对慢性疼痛无效。胆管旁路手术或括约肌成形术对胆总管结石患者非常有效。
