论文部分内容阅读
目的:探讨胆总管囊肿切除+肝总管空肠Roux-Y吻合术治疗小儿先天性胆总管囊肿的疗效。方法:回顾性分析1993年1月至2011年3月湖南省湘潭市中心医院收治的36例先天性胆总管囊肿患儿的临床资料,患者均采用胆总管囊肿切除+肝总管空肠Roux-Y吻合术,观察患者病理检查结果、手术时间、术中出血量、手术并发症等指标。结果:36例患者手术时间140～230 min。手术出血量10～50 mL。均痊愈出院,平均住院时间20 d。随访6个月至14年,全组患者未再次手术,B超检查结果未见胆总管狭窄扩张及结石,X线钡餐检查未见钡剂返流到胆道。结论:胆总管囊肿切除+肝总管空肠Roux-Y吻合术是治疗先天性胆总管囊肿的理想方法。
Objective: To investigate the curative effect of choledochal cyst excision + Roux-Y choledochojejunostomy in children with congenital choledochal cyst. Methods: The clinical data of 36 children with congenital choledochal cyst treated in Central Hospital of Xiangtan, Hunan Province from January 1993 to March 2011 were retrospectively analyzed. All patients were treated with choledochal cyst excision + Roux-Y hepaticojejunostomy The patients were observed the pathological examination results, operation time, intraoperative blood loss, surgical complications and other indicators. Results: The operation time of 36 patients was 140-230 minutes. Surgery bleeding 10 ~ 50 mL. All were cured, the average length of stay 20 d. All the patients were followed up for 6 months to 14 years. No operation was performed in all the patients. The results of B-ultrasound showed no expansion of common bile duct stenosis and stones. No barium reflux was found in biliary tract by X-ray barium meal examination. Conclusion: Excision of choledochal cyst + Roux-Y anastomosis of the jejunum is an ideal method for the treatment of congenital choledochal cyst.