先天性胆总管囊肿43例诊治分析  

Diagnosis and treatment of 43 cases of children with congenital chole dochal cyst

作　　者：陶应田[1] 孟翔凌[1] 徐阿曼[1] 

机构地区：[1]安徽医科大学第一附属医院小儿外科,安徽合肥230022

出　　处：《实用儿科临床杂志》2004年第3期228-229,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的　探讨先天性胆总管囊肿 (CCC)的诊断和治疗方法。方法　对 1998年 1月～ 2 0 0 3年 1月我院收治 43例 14岁以下CCC患儿性别、年龄、诊断依据、囊肿类型、手术时机和术式进行分析。结果　CCC发病年龄在 2岁以下者占 72 % ;男女比为 1:3 ;本组入院前后均经B超、CT、磁共振胆管成像 (MRCP)等检查 ,诊断符合率分别为 83 .7%、80 %、78.9% ,共 40例患儿行手术治疗 ,术式为囊肿切除 +肝总管空肠Roux -en -Y吻合术 ,无 1例发生死亡或严重并发症。结论　B超是首选的检查手段 ,囊肿切除、胆道重建是理想的手术方法 。Objective To study the diagnosis and treatment of ch ildren with congenital choledochal cyst (CCC).Methods From Janu ary 1998 to January 2003, data from 43 cases children with CCC were used for thi s study. Their parameters included sex, age, diagnosis , types of CCC, time of surgery and style of surgery were retrospectively analyzed. Results The incidence of patients whose age under 2 years old was 72 %.The ratio o f gender (male:female) was 1:3. The children were examined by B-ultrasonic(B-u s),computed tomography(CT), and MRCP with the accuracy of 83.7 %, 78.9 % and 80. 0 % respectively.Forty cases underwent biliary reconstruction, cystectomy and Ro ux-en -Y bilioenteric anastomosis. There was no mortality, pre or postoperative compli cation. Conclusion B-us examination is the best method to diag nose the disease.Cystectomy and biliary reconstruction are effect to treat this disease.

关 键 词：先天性胆总管囊肿 诊断 治疗 ROUX-EN-Y吻合术 囊肿切除术 胆道重建 

分 类 号：R726.5[医药卫生—儿科]