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1986～2002年,我们采用囊肿切除、空肠间置加矩形瓣防反流手术治疗小儿胆总管囊肿39例,疗效满意。现报告如下。 临床资料:本组男11例,女28例;年龄1个月至14岁。临床表现有腹痛病史33例,间断性黄疸19例,腹部可及包块21例,间断性腹痛、黄疸、腹部包块三联症10例。术前均经B超、十二指肠钡餐及CT检查确诊为先天性胆总管囊肿。 手术方法:连续硬膜外麻醉,平卧位,取右肋缘下斜切口入腹。穿刺吸取胆汁做细菌培养,并注入庆大霉素。切开囊肿
From 1986 to 2002, we treated 39 cases of pediatric choledochal cyst with cyst excision and jejunal intercalation plus rectangular flap anti-reflux surgery. The results were satisfactory. The report is as follows. Clinical data: The group of 11 males and 28 females; aged 1 month to 14 years old. Clinical manifestations of 33 cases of history of abdominal pain, intermittent jaundice in 19 cases, abdominal and mass in 21 cases, intermittent abdominal pain, jaundice, abdominal mass triad 10 cases. Preoperative B-ultrasound, duodenal barium meal and CT examination confirmed congenital choledochal cyst. Surgical methods: continuous epidural anesthesia, supine position, take the right costal incision under the incision into the abdomen. Puncture bile absorption bacteria culture, and injection of gentamicin. Cut the cyst