摘要
目的 :利用不同的二种动态检测方法研究不同术式的先天性胆总管囊肿术后病儿十二指肠胃返流的特点。方法 :采用 2 4h胃食管双 p H动态检测结合持续性核素静脉注射肝胆闪烁显像技术 ,检测 2 0例不同术式的先天性胆总管囊肿术后病儿及 17名正常儿十二指肠胃返流 (duodenogastric reflux,DGR)出现情况。结果 :二种术式中囊肿切除 ,肝总管十二指肠吻合组 (H- D吻合组 ) DGR发生率高于囊肿切除 ,肝总管空肠 Roux- Y吻合组。病理性DGR多发生于空腹卧位。结论 :从术后 DGR发生率来看 ,囊肿切除 ,肝总管空肠 Roux- Y吻合组的远期效果优于后者 ,二种动态检测方法结合应用能提高诊断的灵敏度和特异性。
Objective:Two different dynamic methods was used to monitor the characteristics of duodenogastric reflux (DGR)in postoperative patients with congenital choledochal cyst. Methods:Twenty-four hour dynamic gastroesophageal double pH monitor and hepatobiliary scintigraphy were combined to observe the occurrence of DGR in 17 normal children and 20 patients following different treatment methods.Results:The DGR incidence in cystectomy-hepaticoduodenostomy procedure group is higher than that in cystectomy-hepaticojejunostomy procedure.Pathology DGR usually occurs in fast and supine situation. Conclusion:According to the incidence of DGR,cystectomy-hepaticojejunostomy procedure has better long-term results than hepaticoduodenostomy procedure. The combination of the two methods will greatly improve the senstivity and specificity for the diagnosis of DGR.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2000年第4期304-305,共2页
Journal of China Medical University
关键词
先天性胆总管囊肿
十二指肠胃返流
肝胆闪烁显像
congenital choledochalcyst
duodenogastric reflux
99m Tc hepatobiliary scintigraphy
