摘要
目的 探讨胆总管囊肿外引流及其再手术治疗。方法 回顾性总结施行Ｂ超引导下囊肿穿刺或Ｔ形管引流后再手术的胆总管囊肿病人１３ 例。结果 １１ 例行囊肿切除胆道重建术，２例行囊肿内引流术。１ 例术后出现胆漏并死亡。结论 囊肿外引流不会使随后的囊肿切除变得复杂，对于急危重患者，宜先行囊肿外引流。
Objective To evaluate external drainage and reoperative therapy for choledochal cyst.Methods The study reviews thirteen patients who had had previous external drainage and who required reoperation.External drainage with T tubl was performed in ten patients and percutaneous puncture drainage guided by B ultrosound was performed in three patients.Results Definitive surgery with cyst excision followed by biliary reconstruction was possible in eleven of thirteen patients.After operation one had a bile leak and died.Conclusion The authors consider that external drainage has not complicated the subsequent definitive resection.In severe patients with a complication of choledochal cyst,external drainage may be a preferable initial manoeuver. [
出处
《临床外科杂志》
2000年第1期16-17,共2页
Journal of Clinical Surgery
关键词
胆总管囊肿
外引流
再手术
Choledochal cyst
External drainage
Reoperation
