先天性胆管囊状扩张症的外科治疗  

Surgical treatment of congenital choledochocele

作　　者：王亚儒 贺志新[1] 徐西秦 

机构地区：[1]陕西省宝鸡市中心医院普外科,721008

出　　处：《河北医药》2003年第7期491-492,共2页Hebei Medical Journal

摘　　要：目的　探讨先天性胆管囊状扩张症的外科治疗效果。方法　回顾性分析 1991年 5月至2 0 0 2年 1月治疗的 3 2例先天性胆管囊状扩张症临床资料。结果　按Alonso lej分型法 ,Ⅰa型、Ⅲ型、Ⅳa型各有 3 0例 ( 93 .75 %)、1例 ( 3 .12 %)、1例 ( 3 .12 %)。 3 2例患者均行囊肿切除、胆管空肠Roux en Y吻合术 ,其中首次行囊肿外引流术 1例 ,首次行囊肿十二指肠吻合术 5例。上述病例术后随访 8个月～ 10年8个月 ,疗效满意。结论　先天性胆管囊状扩张症一经确诊 ,应尽早手术。囊肿切除、胆管空肠Roux enObjective To investigate the therapautic effect of surgical treatment on congenital choledochocele.Methods The clinical data of 32 patients with conginital choledochocele were analysed retrospectively from May 1991 to January 2002.Results Ⅰa,Ⅲ and Ⅳa according to Alonso lej Type were 30 cases (93.75%),1 case (3.12%) and 1 case (3.12%) respectively.All the 32 patients with congenital choledochocele were operated by normal Roux en y hepaticojejunostomy.Among them the first operation included simple external drainage in 1 patient,choledochoduodenostomy in 5 patients.The therapeutic effect of all the patients was satisfactory after 8 months～10 years follow up.Conclusion Congenital choledochocele should be treated by surgical treatment in its early stage.The resection of congenital choledochocele with normal Roux en y hepaticojejunostomy should be the first choice of therapy.

关 键 词：先天性胆管囊状扩张症 囊肿切除术 胆管空肠ROUX-EN-Y吻合术 术后并发症 

分 类 号：R657.4[医药卫生—外科学]