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Clinical features and risk factors of bile duct perforation associated with pediatric congenital biliary dilatation

机译:胆管穿孔与小儿先天性胆膨胀相关的临床特征及危险因素

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Purpose This study aimed to investigate the clinical features and risk factors of bile duct perforation in pediatric congenital biliary dilatation (CBD) patients. Methods CBD patients, whose initial symptom was abdominal pain, were enrolled in this study and were divided into perforated and non-perforated groups. The clinical features of the perforated group were investigated. Moreover, the age at operation, sex, and morphologic features of the extrahepatic bile duct were compared between the groups. Results Fifteen cases of bile duct perforation (10.4%) were identified among the 144 CBD patients who had abdominal pain. Majority of bile duct perforation occurred in patients aged?
机译:目的本研究旨在调查小儿先天性胆量扩张(CBD)患者胆管穿孔的临床特征和危险因素。方法患有腹部疼痛的CBD患者,患有腹痛,分为穿孔和非穿孔组。研究了多孔组的临床特征。此外,在组之间比较了血管胆管管道的操作,性别和形态学特征的年龄。结果144名患者患有腹痛的144名CBD患者中均有15例胆管穿孔(10.4%)。大部分胆管穿孔发生在患者患者?<?4?年。从腹痛发作到胆管穿孔的中位持续时间为6(4-14)天。发病时的年龄[<?4?岁; p?= 0.02,或13.9,(1.663,115.3)],外膜胆管的形状[非囊性型; p?= 0.009,或8.36,(1.683,41.5)]和公共频道的扩张[p?= 0.02,或13.6,(1.651,111.5)是胆管穿孔的危险因素。结论如果CBD患者具有上述危险因素,并且从发病中持续几天,可能会计划预防突出的胆管引流以防止胆管穿孔。

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