胆道闭锁肝门空肠吻合术后胆管炎

Cholangitis After Portoenterostomy in Biliary Atresia

目的:为了了解胆管炎的临床特点以及对预后的关系。方法:对24例胆道闭锁术后患儿进行胆汁、胆汁排出物及其临床表现研究。24例胆道闭锁均行肝门空肠吻合术,23例术后有胆汁排出,胆汁排出率95%。16例(69%)术后发生胆管炎27次。结果:胆管炎前后以及有胆管炎前兆时胆汁量以及胆汁中胆红素含量均有变化。胆管炎对胆道闭锁术后远期生活质量也有影响。结论:当出现胆管炎前兆时,及时处理可防止发生胆管炎,提高疗效。

Objective:To analyze the clinical manifestations and prognostic factors of biliary a- tresia(BA).Methods:Twenty-four cases of BA were reviewed for clinical manifestations and bile flow after operation.All cases underwent hepatoportoenterostomy.Results:Twenty-three cases (95%)had bile flow postoperatively.Sixteen(69%)of 23 patients had 27 episodes of cholangitis. There was significant difference(P<0.05)in the amount and bilirubin concentration of the bile flow before and after cholangitis.The patient's life quality was also affected by cholangitis.Con- clusions:Early consideration and prevention of cholangitis can help patients with BA to have a favourable prognosis.