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先天性胆管囊性扩张症的外科治疗(附49例临床分析)

SURGICAL TREATMENT OF CONGENTIAL BILLARY DILATATION OF BILIARY DUCT: A REPORT OF 49 PATIENTS
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摘要 本文统计分析1980年至1997年我院收治手术的先天性胆管囊肿病人49例,阐述本病在发病情况、临床表现、术前检查等方面的一般规律,认为治疗上对于肝外囊肿应尽量切除囊肿后行胆肠内引流,可降低并发症及再手术率,对于肝内囊肿应根据囊肿的具体情况来决定手术方法,可行肝叶(段)切除,清除结石,整形,解除主要胆管狭窄,再行胆肠内引流术。 49 patients with Congenial Billary Dilatation from 1980 to 1995 in our hospital were analysed statistically. This paper expounds the general regularity in course,clinical manifestation and preoperative examination of the disease. We suggest that the extrahepatic choledochal cyst should be treated with binary cyst excision and choledochojejunostomy as far as possile. These treatment can decrease the complications and the rate of reoperation. As to intrahepatic choledochal cyst,we may choose surgical approaches according to different conditions, such as hepatic lobetectomy or segmentomy, removal obstone, cholangioplasty and relief of the major hepatic stricture. And then choleenterostomy is performed.
出处 《肝胆外科杂志》 1998年第4期207-209,共3页 Journal of Hepatobiliary Surgery
关键词 胆管囊性扩张症 胆肠内引流术 肝段切除术 Congenital Billary Dilatation Cholecystenterostomy Hepatic segementectomy
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