胆管良性狭窄

肝门胆管良性狭窄的原因和处理

The pathogenesis and the treatment of the benign stricture of bile duct in porta hepatis

目的探讨高位胆管良性狭窄的原因和防治。

Objective To explore the reasons for and treatment of non-malignant stricture in high bile ducts .

胆管良性狭窄的治疗

The Treatment of Benign Biliary Stricture

目的总结应用自体组织修复肝门部胆管良性狭窄的经验。

Objective To summarize the experience in using self-tissue repair for benign stricture of portal hepatic duct .

结论应用自体组织带蒂胆囊壁瓣，肝圆韧带脐静脉片及带蒂胃壁片修复肝门部胆管良性狭窄符合生理，取材方便，操作简便，效果良好。

Conclusions Treatment of benign stricture of porta hepatic duct by pedicled autograft is physiologic , convenient and effective .

方法回顾性总结分析高位胆管良性狭窄460例的病因和治疗方法。

Methods The reasons for and treatment of non-malignant stricture in high bile ducts were retrospectively analyzed in 460 patients .

目的：探讨单纯肝门胆管良性狭窄的原因和治疗。

Objective : To discuss the pathogenesis and the treatment of the benign stricture of the bile duct in porta hepatis .

β-氨基丙腈对兔胆管良性狭窄的作用植树细胞中丙氨酸和亮氨酸、缬氨酸的主要前体是丙酮酸。

The Effects of β - Aminopropionitrile on Benign Biliary Stricture in Rabbit In plant cells the principal precursor of alanine , as well as leucine and valine , is pyruvate .

所有良性病变（胆总管结石、胆管良性狭窄）均得到有效引流，5例胆道恶性肿瘤由于胆管的多处狭窄引流失败。

All patients with benign causes ( choledocholithiasis or benign stricture ) achieved effective drainage after ENBD . On the other hand , ENBD failed to improve cholangitis in 5 patients due to multiple biliary strictures .

再手术原因早期主要以胆漏（7.3%）、腹腔内出血（1.2%）为主。晚期主要以结石残留或复发（76.9%），胆管良性狭窄（11.5%）为主。

Bile leakage ( 7.3 % ) and celiac bleeding ( 1.2 % ) were responsible for early reoperation while recurrent or residual duct stones ( 76.9 % ) and bile duct stricture ( 11.5 % ) for the late reoperation .

胆汁肿瘤标志物和基因突变对胆管癌和胆管良性狭窄鉴别诊断价值的研究

The Study of Tumor Markers and Gene Mutations in the Bile for Differential Diagnosis of Cholangiocarcinoma and Benign Bile Duct Stricture