目的 总结先天性胆管扩张症的病因、分型、临床特点及诊治经验.方法 对14例先天性胆管扩张症临床诊治资料进行回颐性分析.结果 全组14例中1型9例,Ⅳ型4例,V型1例.全组均行手术治疗,治愈14例;术后发生并发症4例,均经保守治疗治愈.无手术死亡病例.结论 先天性胆管扩张症应尽早行手术治疗,囊肿切除、胆肠Roux-en-Y吻合术是治疗先天性胆管扩张症、降低手术后远期并发症的合理术式.%Objective To summarize the etiology, classification and clinical characteristics of congenital bile duct dilatation and our experience in its diagnosis and treatment. Methods The clinical data of 14 cases with congenital bile duct dilatation were retrospectively analyzed. Results The 14 cases included Type Ⅰ in 9 cases, Type Ⅳ in 4 cases, and Type Ⅴ in 1 case. All of the patients underwent operative treatment All cases were cured. There were no operative deaths. Conclusion Congenital bile duct dilatation should be treated as soon as possible. Excision of the cyst and Roux-en-Y hepaticojejunostomy is the rational treatment for congenital bile duct dilatation, and can reduce long-term postoperative complications.
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