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目的研究分析对先天性胆总管囊肿婴幼儿进行手术治疗的临床效果,为其临床研究提供理论依据。方法回顾性分析2010年4月～2013年12月我院收治的54例婴幼儿胆总管囊肿患者的临床资料,所有患儿均给予严格、全面的临床检查和诊断,并针对其具体病情选择适宜的手术方式。研究中50例患儿经一期囊肿切除治疗,4例病情较重患儿给予急诊外引流术治疗,治疗3个月后给予二期囊肿切除手术。术后所有患儿均进入ICU病房监测,并给予静脉营养支持和抗生素抗感染。结果 42例患儿获得1至3年的随访,所有患儿临床症状全部消失,2例患儿术后3年有粘连性肠梗阻发生,未见远期死亡患儿。结论患儿一旦确诊为先天性胆总管囊肿,应立即给予手术治疗,针对患儿的病情特点选择适宜的手术方式是保证临床疗效的关键。
Objective To study the clinical effect of surgical treatment of infants and children with congenital choledochal cyst, and provide theoretical basis for clinical research. Methods The clinical data of 54 cases of children with choledochal cyst treated in our hospital from April 2010 to December 2013 were analyzed retrospectively. All children were given strict and comprehensive clinical examination and diagnosis. The patients were selected according to their specific conditions The surgical approach. 50 cases of children underwent resection of a cyst, 4 cases of severe children given emergency treatment of external drainage, three months after treatment given two cyst resection. All patients were admitted to the ICU ward after surgery, and given intravenous nutritional support and antibiotics anti-infection. Results 42 cases of children were followed up for 1 to 3 years, all children with clinical symptoms disappeared, 2 cases of children with adhesive intestinal obstruction occurred after 3 years, no long-term death in children. Conclusion Once diagnosed as congenital choledochal cyst in children, surgical treatment should be given immediately. Choosing the appropriate surgical method according to the disease characteristics of children is the key to ensure clinical efficacy.