影响胆道闭锁手术近期疗效的因素及对策(附20例分析)

FACTORS AFFECTING THE IMMEDI- ATE RESULT OF KASAI' S OPERAT- ION AND HOW IMPROVING THE RESULT; AN ANALYSIS OF 20 CASES

自1985年5月～1991年6月连续以葛西术式治疗胆道闭锁20例,1例行肝管空肠吻合,3例行肝门胆囊吻合,16例行Roux-en-Y肝门空肠吻合。14例(70％)获得术后早期胆汁引流,其中2例无黄疽存活已14和20月。结合文献资料对影响胆道闭锁手术近期疗效的因素及对策进行了探讨。

Twenty consecutive infants with biliary atresia were operated on during the 3 year period between 1988 and 1991. All the infants had excision of nonpatend extrahepatic bile ducts; biliary drainage was provided by a hep-aticojejunostomy in one infant, by a hepatic portocholecystomy in 3 infants and by a Roux-en-X portojejunostomy in 16 infants. Immediate postsurgical bile drainage was chieved in 14 infants ( 70% ) , 2 cases survived without jaundice for 14 and 20' months. The factors affecting the immediate result of kasai'c operation and how improving the result were discussed.