国际医药卫生导报2012，Vol.18Issue(3)：331-333,3.DOI:10.3760/cma.j.issn.1007-1245.2012.03.013
先天性胆管囊肿再手术原因分析及防治
The causes and prevention of repeat surgery for congenital choledochal cyst
梁池亮 1黄旭佳 1陈荣海2
作者信息
- 1. 525247 高州市根子镇卫生院普通外科
- 2. 525200 高州市第二人民医院普通外科
- 折叠
摘要
Abstract
Objective To lower the rate of repeat surgery and enhance the efficacy of initial surgery by analyzing the causes of repeat surgery for congenital choledochal cyst.Methods The clinical data on 168 patients with congenital choledochal cyst who had been hospitalzed during the period of April 1997 to April 2008 were analyzed retrospectively.The differences in age,gender,timing and procedures of initial,and rates of repeat surgery were compared.Results There was no significant difference in the rate of repeat surgery among different groups of age or gender.The rate of repeat surgery differed significantly between the patients undergoing emergent surgery as the initial treatment and those undergoing selective surgery ( 63.79％ vs.31.82％,P＜ 0.05 ).In all of the surgical procedures,cyst removal plus Roux-en-Y cholangiojejunostomy had a lowest rate of repeat surgery ( 31.43％ ).Conclusions In order to avoid emergent surgery,surgical treatment should be administered as early as possible once the diagnosis of congenital choledochal cyst is established.Cyst removal plus Roux-en-Y cholangiojejunostomy is the first choice.Internal drainage should be abandoned and external drainage can only be used in those who are not tolerated to complicated procedures.关键词
先天性胆管囊肿/再手术/原因/防治Key words
Congenital choledochal cyst/Repeat surgery/Causes/Prevention引用本文复制引用
梁池亮,黄旭佳,陈荣海..先天性胆管囊肿再手术原因分析及防治[J].国际医药卫生导报,2012,18(3):331-333,3.
