小儿重症先天性胆总管囊肿治疗方式探讨

Study of therapeutic mode of severe congenital choledochal cyst in children

目的探讨重症胆总管囊肿的有效治疗方法，以减少术后并发症，提高治愈率和生活质量。方法对８例小儿重症胆总管囊肿患者采取不同的治疗方式进行临床分析，探讨不同的治疗方式对其预后的重要性。结果本组４例小儿重症胆总管囊肿病人先行外引流术后，再行囊肿切除、胆道重建术，均治愈。３例采取一期胆道重建术，死亡２例；１例未及手术死亡。结论对小儿重症胆总管囊肿病人较为理想的手术方法是先行外引流，二期再行囊肿切除胆道重建术。

Objective The aim of this paper was to research the treatment methods of severe congenital choledochal cyst in children in order to reducing postoperative complications and promoting cure rate and for patient getting along very well.Methods Eight children with severe congenital choledochal cyst by different treatment methodes were clinical analysed and researched importance of prognosis.Results 4children with severe congenital choledochal cyst by extrinsic deainage and secondary cystectomy and hepaticoenterostomy were cured. Two of 3 cases who were taken interior and drainage died and one case who did not operation died.Conclusions The ideal operative methods for severe congenital choledochal cyst in children is taken exerinsic drainage first and secondary cystectomy and hepaticoenterostomy.