先天性胆管扩张症外科诊疗  

SURGICAL DIAGNOSIS AND TREATMENT IN CONGENITAL CYSTIC DILATION OF THE BILE DUCT

作　　者：赵凤林[1] 张荣贵 李国才[1] 杨毅军[1] 朝王月 孙克坚 王作仁[1] 王健生[1] 石景森[1] 

机构地区：[1]西安医科大学第一附属医院肝胆外科研究室,西安710061 [2]陕西省眉县人民医院

出　　处：《肝胆外科杂志》2000年第5期361-362,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨先天性胆管扩张症的临床特点 ,选择合适的手术治疗方式。方法　回顾分析 75例先天性胆管扩张症病例临床诊疗资料。结果　 75例先天性胆管扩张症患者中有 5 8例行手术治疗 ,其中 2 3例行囊肿内或外引流术 ,术后并发症发生率为 30 .3% ,35例行囊肿切除胆道重建术 ,术后并发症发生率为 6 .3% ,两组比较有显著性的统计学意义 (P<0 .0 5 )。在 75例先天性胆管扩张症患者中 ,有 5例妊娠期出现症状。结论　妊娠可能是女性先天性胆管扩张症出现症状的诱因之一 ;完整的胆囊切除 ,胆管空肠Roux- Y吻合术 。Objective To detect the clinical characteristics of congenital Choledochalcysts and to select the proper use if operative techniques.Methods The record of 75 patients at our hospital in the past 40 years from 1960 to 2000 were reviewed and analyzed.Results 58 cases were operated,23 cases underwent outer or inter drainage,including cystoduodenostomy and cystojejunostomy,the rate of postoperative complication is 30.4%.35 patients underwent resection of cyst with Roux-y hepaticojejunostomy the rate of postoperative complication is 5.7%.There are satistical significant difference between drainage and hepaticojejunostomy,Among the 30 female patients,age from 20 to 40 years older,there were 5 cases who were pregnant.Conclusion Congenitalcholedochal cyst should be treated by surgery in its early age,cyst excision with Roux-Y hepatocholangiojejunostomy should be use in most patients

关 键 词：胆管扩张 胆道外科手术 治疗 先天性 

分 类 号：R657.440.5[医药卫生—外科学]