先天性胆管囊肿的诊治分析

Diagnosis and treatment of congenital choledochal cyst

作者自１９８０年１月到１９９６年６月共收治先天性胆管囊肿８２例。Ｉａ型４７例，Ｉｂ型６例，Ｉｃ型７例，ＩＩ型４例，ＩＩ型１例，ＩＶａ型１２例，ＩＶｂ型３例，Ｖ型２例。７６例行手术治疗。Ｂ超确诊率达９３．９％，应列为首选检查方法。平均随访８４个月，总疗效优良为７８．４％，囊肿切除肝总管空肠Ｒｏｕｘ－Ｙ吻合术疗效优良率达９６．２％，应列为首选术式。外引流术只能作为急救措施。囊肿十二指肠吻合和囊肿空肠吻合术应废用。局限于一侧肝叶的囊肿可行一侧肝叶或半肝切除。左右肝管都有囊肿，可切除病损严重一侧肝叶，解除主要胆管狭窄，行大口肝总管空肠吻合术。

From January 1980 to June 1996,82 patients with congenital choledochal cysts were treated and 76 of them were operated on B ultrasonic diagnosis was made with a correct diaginostic rate of 93 9%. The total effective rate was was 78 4% after follow up for 84 months. Resection of the cyst with Roux Y hepaticojejunostomy was successful in 96 2% of the patients.Outer drainage was used as the first aid measure.Cystoduodenostomy and cystojejunostoy which may lead to complications should be abandoned.