摘要
目的 探讨在先天性胆总管囊肿标准术式即囊肿切除胆道重建的基础上 ,采用延长胆支空肠袢的方式预防重建胆道逆行感染。方法 回顾性分析 1989年～ 2 0 0 3年 3 5例接受采用延长胆支空肠袢的方法行根治性囊肿切除肝总管与肠Roux -Y吻合术治疗先天性胆总管囊肿患儿的临床资料。结果 3 5例均采用延长胆支空肠袢的方法行根治性囊肿切除 ,肝总管与腔肠Roux -Y吻合术 ,达到了预防胆道逆行感染的目的。结论 采用延长胆支空肠袢的方法行根治性囊肿切除肝总管与空肠Roux -Y吻合术是预防先天性胆总管囊肿术后胆道逆行感染的一种有效手术方式。
Objective On the basis of the standard procedure of biliary reconstruction after bunionectomy to treat congenital choledochal cyst,an impoved one with a longer biliary branch was used to prevent from biliary retrograde infection.Methods The clinical data of 35 cases of congential choledochal cyst,who were treated by a longer biliary branch after radical bunionectomy and choledochojejunostomy (Roux-en-Y procedure) surgically from 1989 to 2003,were analysed retrospectively.Results All of the 35 cases of congenital choledochal cyst were treated with a longer biliary branch after radical bunionectomy and choledochojejunostomy (Roux-en-Y procedure) surgically.None of them suffered from biliary retrograde infection.Conclusions The procedure with a longer biliary branch after radical bunionectomy and choledochojejunostomy is an effective method to prevent from biliary retrograde infection on patients with congenital choledochal cyst.
出处
《海南医学》
CAS
2004年第1期3-4,共2页
Hainan Medical Journal
关键词
胆总管囊肿
胆道逆行感染
预防
胆道重建
小儿
术后
Choledochal cyst
Biliary retrograde infection
Prevention
Biliary reconstruction
