中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
6期
23-24
,共2页
先天性胆总管囊肿%肝总管空肠吻合%胆道感染%人工乳头
先天性膽總管囊腫%肝總管空腸吻閤%膽道感染%人工乳頭
선천성담총관낭종%간총관공장문합%담도감염%인공유두
Congenital choledochal cyst%Hepatic duct-jejunum anastomosis%Biliary tract infection%Artificial papillary
目的 探讨先天性胆总管囊肿的治疗方式.方法 21例先天性胆总管囊肿患儿,采用囊肿切除、胆囊切除、肝总管空肠Roux-en-Y吻合、人工乳头成形术.结果 21例患儿均术后恢复良好,无吻合口瘘、吻合口狭窄等并发症,肝功能恢复正常,治愈出院.结论 先天性胆总管囊肿切除,胆道重建和人造乳头抗反流的应用,很好地防止了肠、胰液逆流至肝总管,明显减少了胆道感染发生,是治疗先天性胆总管囊肿的理想术式.
目的 探討先天性膽總管囊腫的治療方式.方法 21例先天性膽總管囊腫患兒,採用囊腫切除、膽囊切除、肝總管空腸Roux-en-Y吻閤、人工乳頭成形術.結果 21例患兒均術後恢複良好,無吻閤口瘺、吻閤口狹窄等併髮癥,肝功能恢複正常,治愈齣院.結論 先天性膽總管囊腫切除,膽道重建和人造乳頭抗反流的應用,很好地防止瞭腸、胰液逆流至肝總管,明顯減少瞭膽道感染髮生,是治療先天性膽總管囊腫的理想術式.
목적 탐토선천성담총관낭종적치료방식.방법 21례선천성담총관낭종환인,채용낭종절제、담낭절제、간총관공장Roux-en-Y문합、인공유두성형술.결과 21례환인균술후회복량호,무문합구루、문합구협착등병발증,간공능회복정상,치유출원.결론 선천성담총관낭종절제,담도중건화인조유두항반류적응용,흔호지방지료장、이액역류지간총관,명현감소료담도감염발생,시치료선천성담총관낭종적이상술식.
Objective To study the treatment of congenital choledochal cyst.Methods Twenty-one cases of congenital choledochal cyst were treated with cyst resection,cholecystectomy,liver ductjejunum Roux-en-Y anastomosis and artificial theleplasty.Results Twenty-one cases recovered well postoperatively.No anastomotic fistula,anastomotic stenosis or other complications.Liver functions returned to normal,and all patients were cured and discharged.Conclusions Resection of congenital choledochal cyst,biliary reconstruction and application of artificial nipple anti-reflux can prevent intestinal,pancreatic juice counter flow to hepatic duct well,significantly reduce biliary tract infection.It is the ideal operation method for the treatment of congenital choledochal cyst.
