【摘要】 目的　为了探讨何种外引流方法对于合并急性胆道感染的急症胆总管囊肿处理的合理性。方法　对 1985年 1月～ 2 0 0 1年 1月收治的 14例小儿急症胆总管囊肿进行回顾性研究。其中 7例患者 ( A组 )先行 B超引导下囊肿穿刺置管引流术 ,待一般情况好转后再行胆总管囊肿根治术 ( radical operation of choledochal cyst,简称 ROCC) ,另 7例患者 ( B组 )先行剖腹囊肿切开置管引流术 ,待一般情况好转后再行 ROCC。结果　 A组及 B组的外引流术的并发症发生率和两次手术间隔时间分别为 0 %及 4 3 % ,15 d及 5 0 d。结论　 B超引导下囊肿穿刺置管引流在处理急症胆总管囊肿时 ,以其并发症少、创伤小、住院天数短及费用少等优点 ,为急症胆总管囊肿外引流首选。更多还原

【Abstract】 Objective To determine which exterior drainage is better in choledochal cyst.complicatecl with acute infection of choledochal.Methods 14 patients with acute choledochal cyst from 1985 to 2001,were retrospectively studied.7 Patients underwent puncture and drainage under the guidance of B-type ultrasonography and operated after acute attack subsided(group A).7 patients underwent emergency operation with placing drainage tube in cyst and were scheduled for selective surgery(group B).Results The initial measure’s complications for group A and B were 0% and 43%,and the total length of hospital stay for group A and B were 15 and 50 days.Conclusion The puncture and drainage to treat acute choledochal cyst under guidance of B-type ultrasonography proves better in decreasing the total length of stay and the rate of initial measure’s complications,and it has minimal access and cost.更多还原