摘要
目的:探讨儿童先天性胆管扩张症根治术后再手术的相关原因。方法:收集我院15例先天性胆管扩张症根治术后再手术的病例资料,与同期未发生再手术的病例进行对比。结果:其中急诊手术的再手术率显著高于择期手术者,囊肿外引流术、囊肿十二指肠吻合术及囊肿空肠Rouxen-y吻合术的再手术发生率较高,而囊肿切除肝总管空肠吻合术、肝叶切除肝外囊肿切除肝总管空肠吻合术的发生率较低,各手术方式之间再手术发生率的差异显著(P<0.05)。结论:先天性胆管扩张症确诊后应尽早手术,囊肿外引流术和囊肿内引流术的再手术发生率较高,除非急诊手术作为一种辅助措施,一般情况下不要选用,尽量给与彻底切除,囊肿切除术、肝总管Rouxen-y吻合术是本病的首选术式。
Objective：To study of congenital bile duct dilatation after radical operation and related reasons.Methods：The data of 15 cases of congenital bile duct dilatation after radical operation cases over the same period,and did not occur again operation case comparison.Results：The emergency operation to operation rate was significantly higher than that of elective operation,the cyst drainage,cysts duodenal anastomosis and cyst jejunum anastomosis of Rouxen-y operation occurs at a higher rate,and cyst resection of hepatic duct jejunum anastomosis,hepatectomy extrahepatic cyst resection of hepatic duct jejunum anastomosis occurred at a lower rate,the operation modes re operation of the differences in the incidence of significant（P〈0.05）.Conclusion：Congenital dilatation of the bile duct diagnosed as soon as possible after operation,the cyst drainage and surgical internal drainage operation of a higher incidence,unless in emergency operation as an adjunctive measures,in general do not choose,try to give complete resection,cyst resection,hepatic duct Rouxen-y anastomosis is the preferred surgical disease.
出处
《中国医药导刊》
2012年第7期1154-1154,1156,共2页
Chinese Journal of Medicinal Guide
关键词
儿童
先天性胆管扩张症
根治术
再手术
Children
Congenital biliary dilatation
Radical operation
Operation again
