He Z P, Wang A C, Han B L
South-West Hospital, Third Military Medical University.
Zhonghua Wai Ke Za Zhi. 1994 May;32(5):266-8.
474 patients suffering from hilar bile duct strictures were treated from 1975 to 1992. 74.7% of the patients had a history of biliary surgery for 1-5 times. Causes of strictures were of iatrogenic in 10.9%, of primary in 71.7%, and of suppurative in 7.1%. Site of strictures: LHD in 37.6%, LHD+RHD+CHD in 17.4%, RHD in 9.6%, CHD in 14.7%, and LHD+RHD in 11.5%. The inferior end of the CBD were of spasmodic or flaccid in 23.6% and 48.3%, respectively. Treatment included cholangioplasty in 56.5%, dilatation and stent in 15.2%, lobectomy and segmetectomy of involued liver in 48%, repairing in 11.4%, bilio-enterostomy in 60.7%, and portal vein decompression in 6.3%.
1975年至1992年期间，对474例肝门部胆管狭窄患者进行了治疗。74.7%的患者有1至5次胆道手术史。狭窄原因：医源性占10.9%，原发性占71.7%，化脓性占7.1%。狭窄部位：左肝管（LHD）占37.6%，左肝管+右肝管+肝总管（LHD+RHD+CHD）占17.4%，右肝管（RHD）占9.6%，肝总管（CHD）占14.7%，左肝管+右肝管（LHD+RHD）占11.5%。胆总管下端痉挛或松弛分别占23.6%和48.3%。治疗方法包括胆管成形术占56.5%，扩张及支架置入占15.2%，受累肝叶切除术及肝段切除术占48%，修复术占11.4%，胆肠吻合术占60.7%，门静脉减压术占6.3%。
