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目的 :提高手术治疗先天性胆总管囊肿的疗效。方法 :对 88例先天性胆总管囊肿患儿采用囊肿切除肝总管空肠Roux -en -y型吻合术 3 0例 ,囊肿切除空肠间置代胆道术 5 8例 ,进行了 1～ 5年的随访。评出 :优、良、差三种结果。并对两种术式进行了探讨。结果 :囊肿切除肝总管空肠Roux -en -y型吻合术 3 0例 ,优 12例 ,良 12例 ,差 6例。囊肿切除空肠间置代胆道术 5 8例 ,优 41例 ,良 15例 ,差 2例。两术式结果经 χ2 检验 ,P <0 .0 5 ,具有显著差异。结论 :囊肿切除肝总管空肠Roux -en -y型吻合术不符合生理 ,术后并发症多。囊肿切除空肠间置代胆道术 ,虽然操作相对复杂 ,但术后疗效满意
Objective: To improve the efficacy of surgical treatment of congenital choledochal cyst. Methods: Thirty-eight cases of congenital choledochal cyst were enrolled in this study. Thirty cases of Roux-en -y type anastomosis of hepatic jejunum were excised from the cyst. Fifty-eight patients underwent cyst excision with jejunal replacement and 1-5 years follow-up . Out: excellent, good, poor three kinds of results. And two types of surgery were discussed. Results: Thirty cases of Roux-en -y anastomosis of hepatic jejunum were excised, 12 were excellent, 12 were good and 6 were poor. Excision of jejunum between the cholecystectomy 58 cases, excellent in 41 cases, good in 15 cases, poor in 2 cases. Two surgical results by χ2 test, P <0. 05, with significant differences. Conclusion: Roux-en -y anastomosis of hepatic jejunum resected by cyst is not suitable for physiology and there are many postoperative complications. Cyst excision jejunal interobserver biliary surgery, although the operation is relatively complicated, but satisfactory results after surgery