婴儿先天性胆总管囊肿的诊断与治疗

Experience of diagnosis and therapy of infantile choledochocyst

目的:探讨婴儿先天性胆总管囊肿诊断和治疗的方法。 方法:回顾性分析 16例婴儿先天性胆总管囊肿的诊断和治疗。结果 :B超确诊 15例 (93.8% ) ,CT检查 2例、MRI检查 2例和 MRCP检查 5例均确诊。 15例手术治疗 ,1例放弃治疗。胆总管囊形扩张 13例 ,梭形扩张 2例。痊愈 12例 ,术后吻合口梗阻 1例 ,早期肝硬化死亡 3例。 结论 :及早解除胆道梗阻可使肝功能损害逆转 。

Objective: To discuss the way in diagnosis and treatment of the infantile choledochocyst. Methods: 16 cases of infantile choledochocyst were analyzed. Results: 15 cases (93.8%) were confirmed by B type ultrasonic examination. CT?MRI and MRCP can also confirm the diagnosis. 15 cases accepted the surgical operation. In 13 cases the common bile duct showed cystic dilatation and in the other 2 the dilatation was fusiform. After the operation, 12 cases healed completely, 1 suffered from anastomotic obstruction and 3 died from early hepatocirrhosis. Conclusion: The injury of liver function can be reversed only after the obstruction of biliary tract being removed. So, it is important to do operation in the early stage of the illness.