Non-Surgical Treatment of the Common Bile Duct Rupture by Percutaneous Transhepatic Biliary Drainage and Stenting

總膽管破裂之非外科性治療－經皮穿肝膽道引流及引留管留置術

鄭汝汾(Yu-Fan Cheng) ； 李子瑜(Tze-Yu Lee) ； 黃棟樑(Dong-Liang Huang) ； 陳豐基(Feng-Chi Chen) ； 蔡春泉(Chung-Cheung Tsai)

《中華放射線醫學雜誌》 18卷2期 (1993/06) Pp. 183-186

摘要

傳統上，治療總膽管或總肝膽管破裂術再加以末端對末端吻合術，亦就是將近端肝膽管接到十二指腸或空腸。我們分別用經皮穿刺引流術成功地治療一例因車禍引起總膽管破裂的病案，這是一種治療外傷性膽道破裂有效的方法，而且將引流管留置在膽道中，更有助於破裂的膽道癒合及防止將來膽道狹窄。

關鍵字

膽管，損傷 ； 膽管，診療性處置 ； 膽管，彌補物

並列摘要

Traditionally, disruption of the common bile duct or common hepatic duct is treated by debridement and an end-to-end anastomosis or anastomosis of the proximal duct to the duodenum or jejunum. We successfully treated a case of common bile duct repture caused by a traffic accident by using percutaneous drainage of the biloma and percutaneous transhepatic biliary drainage with stenting for 6 months. It is an effective procedure in the treatment of traumatic extrahepatic duct injury and biliary stenting is helpful in preventing the injured bile duct from stricture in the healing process.

並列關鍵字

Bile ducts, injuries ； bile ducts, interventional procedures ； bile ducts, prosthesis