【摘要】 目的　研究先天性胆总管囊肿囊肿切除空肠间置与肝总管空肠Roux Y吻合重建胆管的远期随访结果与疗效评价。方法　对 2种常用的胆管重建术 :空肠间置术 (2 0例 )和肝总管空肠Roux Y吻合术 (30例 )进行 3～ 10年随访。结果　获得随访 44例 ,其中短段空肠间置伴抗反流瓣术14例 ,肝总管空肠Roux Y吻合短段桥袢伴抗反流瓣术 18例均无反流性胆管炎 ,钡餐检查无钡剂反流 ,而短段空肠间置不伴抗反流瓣 4例中 1例 ,肝总管空肠Roux Y吻合 ,短段桥袢 8例中 1例发生反流性胆管炎 ,钡餐检查均有钡剂反流。结论　短段空肠间置伴抗反流瓣术与肝总管空肠Roux Y吻合短段桥袢伴抗反流术是囊肿切除后重建胆管的宜选用的手术。更多还原

【Abstract】 Objective To study the long-term results and efficacy of jejunal interposed cholangiojejunostomy and Roux-Y hepaticojejunostomy after choledochal cyst excision. Methods The patients with choledochal cyst who underwent cyst excision and jejunal interposed cholangiojejunostomy (18) or Roux-Y hepaticojejunostomy (26) were reviewed retrospectively. Results Forty-four cases were followed-up for a period of 3～10 years. There were no regurgitant cholangitis and barium meal reflux under X-ray examination in patients who received jejunal interposed cholangiojejunostomy plus antireflux valve (n=14) or Roux-Y hepaticojejunostomy plus antireflux valve (n=18). Each of the jejunal interposed cholangiojejunostomy group (n=4) and Roux-Y hepaticojejunostomy group (n=8) that without antireflux valve had one case with regurgitant cholangitis. Conclusions Jejunal interposed cholangiojejunostomy or Roux-Y hepatico-jejunostomy with anti-reflux valve after cyst excision is an appropriate procedure to treat congenital choledochal cyst of children.更多还原