【摘要】 目的总结先天性胆总管囊肿的诊断与治疗经验。方法回顾1994年～2006年我院收治的63例患儿的病例资料,对其诊断、手术方式及手术后近、远期并发症进行分析。结果本组入院前后均经B超、CT、MRCP等检查,诊断符合率分别为88.9%、80.0%、90.0%。其中46例行囊肿切除+肝总管空肠Roux-en-Y吻合术,6例行囊肿切除+肝总管十二指肠吻合术,6例行囊肿内引流术。术后近期并发症:伤口出血5例,胆汁漏7例,胆系感染2例,吻合口梗阻1例。远期并发症:返流性胆管炎8例.肠梗阻4例,胆系结石2例。结论B超检查是诊断先天性胆总管囊肿的首选方法,囊肿切除+肝总管空肠Roux-en-Y吻合术是一种较好的治疗方法。更多还原

【Abstract】 Objective To study the diagnosis and treatment of children with congenital choledochal cyst(CCC). Methods Data from 63 cases children with CCC were used to this study from 1994 to 2006. Their parameters included sex, age, diagnosis, complication, types of CCC and style of surgery were retrospectively analyzed.Results The patients were examined by B-ultrasonic, computed tomography and MRCP with the accuracy of 88.9%,80.0%and 90.0%, respectively:Roux-Y hepaticojejunostomy in 46 cases,ileocecal segment replacement mucosal papilloplasty in 6, internal drainage of CCC was adopted in 6. There was one dead and complication of bleeding in 5 cases, biliary leakge in 7 cases, cholangitis in 2 cases,anastomotic obstruction in one case were found during hospital stay. Forward complications including 8 cases recurrent cholangitis,5 cases stone formation in bile duct,4 cases intestinal obstruction biliary calculi in 2 cases Conclusions B-us examination is the best diagnostic method to the disease. combination of Hepaticojejunostomy with Roux-en-Y anastomosis is the best method for treatment of CCC.更多还原