CAJ | 학술논문

目的评价腹腔镜下胆囊造瘘胆道冲洗治疗浓缩胆栓综合征的效果.方法 2003年1月～2005年2月手术治疗新生儿浓缩胆栓综合征10例.所有病例在腹腔镜辅助下行胆囊造瘘术,术中注入38%泛影葡胺作胆道造影.术后第1周每天经套管用10～20 ml生理盐水冲洗胆道.根据胆汁引流情况及术后胆红素的下降情况,以后每2～3d冲洗1次.套管留置时间2周～1个月.结果 10例术中胆道造影均证实为浓缩胆栓综合征.术中术后分别冲洗,术后0.5～2个月后胆红素和肝功能指标较术前有明显下降.结论腹腔镜下胆囊造瘘胆道冲洗是治疗浓缩胆栓综合征的理想方法.
목적 평개복강경하담낭조루담도충세치료농축담전종합정적효과.방법 2003년1월～2005년2월수술치료신생인농축담전종합정10례.소유병례재복강경보조하행담낭조루술,술중주입38%범영포알작담도조영.술후제1주매천경투관용10～20 ml생리염수충세담도.근거담즙인류정황급술후담홍소적하강정황,이후매2～3d충세1차.투관류치시간2주～1개월.결과 10례술중담도조영균증실위농축담전종합정.술중술후분별충세,술후0.5～2개월후담홍소화간공능지표교술전유명현하강.결론 복강경하담낭조루담도충세시치료농축담전종합정적이상방법.
0bjective To evaluate the effect of assistant bile cyst fistulization and biliary tract irrigation to treat cholestatic syndrome.Methods Between January 2003 and February 2005,10 neonates with cholestatic syndrome were performed laparoscopy assistant bile cyst fistulization and biliary tract irrigation in our department.The irrigation tube was placed in gallbladder,and intraoperative cholangiogram was performed to display biliary duct.Postoperatively,10-20ml saline was infused into biliary duct through the irrigation tube every day at the first week.After the first week,irrigation adj usted to every 2 to 3 days according to bilirubin levels and liver function.The tubes were kept for 2 weeks to 1 month.Results Ten cases were diagnosed as cholestatic syndrome by intraoperational cholangiography.As biliary tract was irrigated during and after operation,the increased bilirubinand abnormal liver function was greatly improved.Conclusions Laparoscopy assistant bile cyst fistulization and biliary tract irrigation is the feasible and reliable procedure to treat cholestatic syndrome.