【摘要】 目的探讨治疗小儿先天性胆总管囊肿的手术方法。方法对15例小儿先天性胆总管囊肿患儿,男性6例,女性9例,年龄1月至3岁,采用改良式囊肿切除、肝总管空肠Roux-Y吻合术治疗。结果15例均痊愈出院,其中小肠应激性溃疡穿孔1例,经再次进腹并行肠切除吻合后获愈。8例随访3个月至2年,未出现腹痛、黄疸、发热等症状,且获访的8例经B超检查,未见胆管狭窄,6例经消化道造影检查未见造影剂返流入肝管空肠吻合口。结论改良囊肿切除、肝总管空肠Roux-Y吻合术是治疗先天性胆总管囊肿的较好方法。更多还原

【Abstract】 Objective To study the efficacy of Roux-Y hepaticojejunostomy in treatment of choledochal cyst in children.Methods Fifteen children with choledochal cyst including 6 males and 9 females were studied.Their age ranged from 1 month to 3 years.All of them had undergone Roux-Y hepaticojejunostomy.Results The results showed that all cases recovered well except one patient operated again for small intestine ulcer.8 cases followed-up study for 3 months to 2 years,there was no abdominal pain,jaundice or fever occurred in other patients.8 cases checked by B-ultrasonography showed no bile duct stricture after operation.Barium meal examination had been taken in 6 cases,there was no biliary duct stricture or barium reflux seen in the examination.Conclusion Modified excision of choledochal cyst and Roux-Y hepaticojejunostomy is a feasible method for treatment of choledochal cyst in children.更多还原