改良式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  

Modified excision of choledochal cyst and Roux-Y hepaticojejunostomy in treatment of children with congenital choledochal cyst.

作　　者：李炳[1] 王金星[1] 王寿青[1] 陈卫兵[1] 陈宗义[1] 郭亚[1] 

机构地区：[1]淮安市妇幼保健院小儿外科,江苏淮安223002

出　　处：《临床和实验医学杂志》2007年第12期49-50,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨治疗小儿先天性胆总管囊肿的手术方法。方法对15例小儿先天性胆总管囊肿患儿,男性6例,女性9例,年龄1月至3岁,采用改良式囊肿切除、肝总管空肠Roux-Y吻合术治疗。结果15例均痊愈出院,其中小肠应激性溃疡穿孔1例,经再次进腹并行肠切除吻合后获愈。8例随访3个月至2年,未出现腹痛、黄疸、发热等症状,且获访的8例经B超检查,未见胆管狭窄,6例经消化道造影检查未见造影剂返流入肝管空肠吻合口。结论改良囊肿切除、肝总管空肠Roux-Y吻合术是治疗先天性胆总管囊肿的较好方法。Objective To study the efficacy of Roux - Y hepaticojejunostomy in treatment of choledochal cyst in children. Methods Fifteen children with choledochal cyst including 6 males and 9 females were studied. Their age ranged from 1 month to 3 years. All of them had undergone Roux - Y hepaticojejunostomy. Results The results showed that all cases recovered well except one patient operated again for small intestine ulcer. 8 cases followed - up study for 3 months to 2 years, there was no abdominal pain, jaundice or fever occurred in other patients. 8 cases checked by B -ultrasonography showed no bile duct stricture after：operation. Barium meal examination had been taken in 6 cases, there was no biliary duct stricture or barium reflux seen in the examination. Conclusion Modified excision of choledochal cyst and Roux - Y hepaticojejunostomy is a feasible method for treatment of choledochal cyst in children.

关 键 词：先天性胆总管囊肿 改良 肝总管空肠Roux-Y 

分 类 号：R726.5[医药卫生—儿科]