新生儿先天性胆总管囊肿的特点及外科处理

CHARACTERICS AND SURSICAL THEATMENT OF CHOLEDOCHAL CYST IN NEONATES

本文报告3例新生儿先天性胆总管囊肿，均女孩，手术时日龄49d、34d和38d。主要临床表现有黄疸、陶土色大便和右上腹包块。B超显示右上腹囊性包块。1例作Roux－en—Y肝囊肿—空肠吻合．2例作囊肿切除，Roux—en—Y肝总管—空肠吻合，3例均治愈。作者的经验指出囊肿切除Roux—en—Y肝总管—空肠吻合是治疗新生儿胆总管囊肿的有效方法，远期效果好。

Three neonates with choledochal cyst were treated from 1981 to1995. All of them were Sirls. The age at Operation was 49 days. 34 days and 38 days,re-spectively. They Presented jaundice,acholic stools and abdominal mass. A bdominal ul-trasonographyshowde a cystic mass in the right upper abdomen. A choledochal enteros-tomg was Performed in one,total cyst excision with Roux -en -Y hepatico jejunostomywas Performed in two. All of them were cured. The auther's experiences suggest thatcyst excision with Roux - en - Y hapatio - jejuncstomy is an preferred procedure forcholedochal cyst in neonates It's result in follow up Period is satisfactory.