【摘要】 本文报告小儿先天性胆总管囊肿术后X线随访34例。发现先天性胆总管囊肿合并肝胆管扩张的发生率为82.3%,而囊肿残留和肝胆管扩张是术后逆行感染和远期并发症的病理基础。从而认为,囊肿切除、总肝管-十二指肠吻合术是可取的术式。肝区平片、上胃肠道钡餐检查是术后X线检查的理想方法。更多还原

【Abstract】 Thirty-four postoperative cases of congenital choledochal cysts in childrenhave been followed up radiologically and clinically in the past thirteenyears from 1971 to 1983. The rate of follow-up is 54. 5%. Plain film andupper gastrointestinal barium examination are the most helpful study inpostoperative follow-up. The relatively high incidence(82. 3%) of coexistingdilatation of the intrahepatic bile ducts was discovered in our patients withcholedochal cyst. we consider that remaining cyst and dilatation of intrahe-patic bile ducts are the possible factors of asending infection, and they are alsopathologic basis of the possible late complications including biliary lithiasis and carcinoma. The authors emphasize that cyst excition and hepaticoduode-nostomy is more satisfactory and is the method of choice in treatment ofcongenital choledochal cyst.更多还原