摘要
目的 总结72例囊肿切除、胆道重建手术治疗小儿先天性胆总管囊肿的经验 ,探讨有关的治疗问题。方法 回顾1984年至今72例囊肿切除、胆道重建手术治疗的先天性胆总管囊肿患者 ,其中行囊肿切除、间置空肠十二指肠吻合15例;囊肿切除、肝总管空肠Roux-y吻合57例 ,所有病例均行紧贴囊壁剥离法切除胆总管囊肿。对手术方式 ,手术后近、远期并发症进行分析。结果 除1例因严重肝硬化死亡外 ,余71例均痊愈出院 ,在57例肝总管Roux-y型吻合术中 ,随访6个月～5年 ,1例出现腹痛、黄疸、发热 ,余56例 ,经B超检查 ,未见胆管狭窄及扩张。X线钡餐检查 ,未见有钡剂反流入胆道。结论 紧贴囊壁剥离法切除胆总管囊肿 ,肝总管Roux-y型吻合术是治疗先天性胆总管囊肿的较好方法。
Objective To explore the experiences of biliary tract reconstruction after radical cyst resection in children congenital choledochal cyst(CCC). Methods 72cases of CCC from1984to nowreceived operation of biliary tract reconstruction after radical cyst resection were analysed retˉrospectively.15cases biliary tract reconstruction with inter-posed segment of jejunumand57cases with Roux-en-Yhepaticojejunostomy after resection of the cyst.All of cases with cyst excision nestling up against the cyst wall for chledochal cysts.The operation styles and complications were analysed. Results 1case died of severe cirrhosis and71cases cured.57cases with Roux-en-Y hepaticojejunostomy were followed-up for6months to5years and found that all cases had a satisfactory recovery except1case with abdominal pain,jaundice or fever.The B-ultrasound and barium meal examination of56cases demonstrated no biliary duct stricture or barium reflux. Conclusion The cyst resection nestling up against the cyst wall and the Roux-en-Y hepaticojejunostomy is a feasible method to treat CCC in children.
出处
《浙江临床医学》
2004年第9期744-745,共2页
Zhejiang Clinical Medical Journal
关键词
囊肿切除
胆道重建
外科治疗
小儿
先天性胆总管囊肿
Congenital choledochal cyst(CCC),Cyst resection nestcing up against the cyst wall,Roux-en-Y hepaticojejunostomy.
