小儿先天性胆总管囊肿合并严重感染的治疗体会  

The experience of treatment for choledochal cyst associated with severe infection in children

作　　者：黄庆荣[1] 吴江[1] 吴平辉[1] 刘运奇[1] 王瑾 

机构地区：[1]广东医学院附属医院小儿外科,湛江524001 [2]广东省湛江市中心人民医院,湛江524037

出　　处：《海南医学》2003年第12期26-27,共2页Hainan Medical Journal

摘　　要：目的　寻找治疗小儿先天性胆总管囊肿合并严重感染的最佳治疗方法 ,以减少术后并发症 ,提高治愈率和生活质量。方法　对 16例小儿先天性胆总管囊肿合并严重感染采取的不同治疗方法进行回顾性临床分析 ,探讨不同的治疗方式对其预后的重要性。结果　本组中 9例先行囊肿外引流术 ,再行囊肿切除、胆道重建术 ,均治愈 ;3例I期囊肿切除、胆道重建术 ,其中 2例死亡 ,1例反复出理胆管炎 ;4例行囊肿空肠吻合术 ,其中 3例需要再次手术。结论　对于小儿先天性胆总管囊肿合并严重感染比较好的手术方法为先行囊肿外引流术 ,Ⅱ期再行囊肿切除。Objective searching for the best treatment for choledochal cyst associated with severe infection in children so as to lower down complications after surgery, increase cure-rate and improve life quality.Methods 16 cases (of children suffering from congenital choledochal cyst associated with severe infection) were-frealed with different methods and the results were dinicnllg stndied.Results 9 cases who had external drainage first and then cystectomy and biliarypassage reconstruction, were all cured; among 3 cases who imderwent immediately cystectomy and biliary passage reconstruction two died and the other one suttered pom recurrent cholangitis after operatin; 3 of the remaining 4 cases who had cystojejunostomy first needed another operation.Conclusions the method for treating consenital from choledochal cyst associated with following cystectomy and biliary passage reconstruction.

关 键 词：小儿 先天性胆总管囊肿 合并症 感染 手术治疗 术后并发症 囊肿外引流术 囊肿切除术 胆道重建术 

分 类 号：R726.2[医药卫生—儿科]