危重型胆总管囊肿的诊治体会  

ANALYSIS ON DIAGNOSIS AND TREATMENT OF CRITICAL CHOLEDOCHAL CYST

作　　者：赵莉[1] 李振东[1] 于增文[1] 陈新英[1] 张道荣 

机构地区：[1]河北医科大学第二医院小儿外科

出　　处：《河北医科大学学报》1999年第2期89-90,共2页Journal of Hebei Medical University

摘　　要：目的提高对危重型胆总管囊肿的诊治水平。方法对收治的２３例危重型胆总管囊肿患儿进行回顾性分析总结。结果２３例中３岁以下婴幼儿占２０例（８６．９５％），均为囊肿型，有囊肿破裂腹膜炎５例；囊肿直径超过１０ｃｍ１７例。死亡５例（２１．７％）。２３例中行囊肿外引流术７例（死亡１例，行Ⅱ期手术治愈６例），囊肿内引流术１３例（死亡２例），囊肿切除胆道重建术３例（死亡２例）。结论危重型胆总管囊肿具有起病急，病情重，婴幼儿多见，囊肿体积大，病死率高等特点。治疗上不同于非重型患儿，应及时处理，正确选择术式。ObjectiveTo improve the diagnosis and treatment of the critical choledochal cyst.MethodsClinical features of 23 patients were analyzed retrospectively.Results20 cases of 23 patients were less than 3 years old( 86.95 %).All were cystic choledochal cyst.5 patients had perforation of cyst. The cysts in 17 cases were more than 10 cm in diameter.Five patients died.Seven cases underwent cystic extradrainage,thirteen underwent internal drainage of cyst.Cyst excision and biliary reconstruction were performed in 3 patients.ConclusionThe patients with critical choledochal cyst are generally younger in age,larger in the size of cyst,more severe in clinical course and higher in death rate.The treatment of the patients are different from common choledochal cyst.The operative method must be selected correctly and performed as soon as possible.

关 键 词：胆总管囊肿 诊断 并发症 外科手术 

分 类 号：R735.8[医药卫生—肿瘤] R657.4[医药卫生—临床医学]