胆道闭锁诊治环节若干问题的思考

Thinking of several problems in the diagnosis and treatment of biliary atresia

胆道闭锁在我国的发病率较高，早期诊断和早期手术的比例仍不尽人意，而早期手术对胆道闭锁患儿的长期自肝生存又有重要的影响。因此，改变儿科临床工作者和国人对胆道闭锁的诊疗理念，才能使胆道闭锁患儿得到及时治疗。与发达国家和地区相比，对于胆道闭锁的手术治疗，我国起步较晚，如何总结国内大的儿科诊疗中心的手术经验，并加以推广，在尽可能短的时间内提高小儿外科医师的治疗水平。中医药是我国独特的医疗资源，如何利用我们中西医结合的治疗优势，使其在胆道闭锁患儿术后退黄、延缓和减轻术后肝纤维化的进展速度和严重程度等方面有所建树。上述诊治环节中的问题值得思考。

The incidence of biliary atresia is relatively high in China,but early diagnosis and early surgery are still not satisfactory, which have great impact on patients＇ long-term self-liver survival. Therefore, certain problems of great value require our critical thinking. How to change doctors and parents＇ attitude to the diagnosis and treatment of biliary atresia so that the patients could get treatment in time？ Compared with the developed countries we have a late startup in biliary atresia surgery, so bow to sum up experience from our large pediatric centers and spread it so that pe- diatric surgeons could be improved in a short time？ Traditional Chinese Medicine is our unique resource, so how to take advantage of the combination of traditional Chinese and Western medicine so that a breakthrough could be made in pos- toperative clearance of jaundice, delayed and reduced postoperative fiver fibrosis？