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新生儿先天性胆总管囊肿的特点及外科处理

CHARACTERICS AND SURSICAL THEATMENT OF CHOLEDOCHAL CYST IN NEONATES

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【作者】 王金星陈永田

【Author】 Wang Jingxing ;Chen Yongtian( Department of Pediatric Surgery, The women’s and cnildren’sHoapital of HuaiYin,Jiang Su Province (223002)

【机构】 江苏省淮阴市妇产儿童医院小儿外科!223002南京医科大学第二附属医院小儿外科!210011

【摘要】 本文报告3例新生儿先天性胆总管囊肿,均女孩,手术时日龄49d、34d和38d。主要临床表现有黄疸、陶土色大便和右上腹包块。B超显示右上腹囊性包块。1例作Roux-en—Y肝囊肿—空肠吻合.2例作囊肿切除,Roux—en—Y肝总管—空肠吻合,3例均治愈。作者的经验指出囊肿切除Roux—en—Y肝总管—空肠吻合是治疗新生儿胆总管囊肿的有效方法,远期效果好。

【Abstract】 Three neonates with choledochal cyst were treated from 1981 to1995. All of them were Sirls. The age at Operation was 49 days. 34 days and 38 days,re-spectively. They Presented jaundice,acholic stools and abdominal mass. A bdominal ul-trasonographyshowde a cystic mass in the right upper abdomen. A choledochal enteros-tomg was Performed in one,total cyst excision with Roux -en -Y hepatico jejunostomywas Performed in two. All of them were cured. The auther’s experiences suggest thatcyst excision with Roux - en - Y hapatio - jejuncstomy is an preferred procedure forcholedochal cyst in neonates It’s result in follow up Period is satisfactory.

  • 【分类号】R722.1
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