摘要
目的 探讨先天性胆管囊肿术式选择与再手术原因。方法 对 1980～ 1998年手术治疗先天性胆管囊肿 91例及再手术 2 3例患者的临床资料作回顾性分析。结果 囊肿切除肝总管空肠吻合术效果最好 ,再手术率最低 ;囊肿外引流效果最差 ,再手术率最高 ;囊肿内引流术效果亦差 ,再手术率较高。结论 胆管囊肿一旦明确诊断 ,应尽早手术 ,避免急诊手术 ;囊肿外引流术只能作为急救措施 ;囊肿内引流应弃用 ;囊肿切除 ,肝总管空肠 Roux—Y吻合术应作为首选术式。
Objective To investigate the modality choice of operation and the reasons of reoperation on congenital choledochal cyst.Methods The clinical data of 91 operated patients including 27 reoperations with congenital choledochal cysts were analysed retrospectively in our hospital from 1980 to 1998.Results Resection of the cyst with Roux-Y hepaticojejunostomy was the most effective with the lowest,reoperation rate .Outer drainage of the cyst was the worst effective with the highest reoperation rate.Effection of internal drainge was worse.Conclusions Congenital choledochal cysts should be operated in its early stage as soon as the diagnosis was established,and should avoid the emergency operation;outer drainge was used as the first-aim measure;internal drainage should be abandoned;resection of the cyst with Roux-Y hepaticojejunostomy should be the therapy of choice.
出处
《肝胆外科杂志》
2001年第1期36-37,共2页
Journal of Hepatobiliary Surgery
关键词
胆管囊肿
术式选择
再手术
Choledochal cyst
Surgical treatment
Reoperation
