囊肿切除间置空肠术治疗I型先天性胆总管囊肿21例临床分析

目的：探讨I型先天性胆总管囊肿的手术方式及疗效。方法：对切除囊肿行空肠间置胆肠吻合手术治疗的I型先天性胆总管囊肿21例临床资料进行分析。结果：手术后早期发生2例吻合口胆汁漏，均经保守治疗漏口愈合；1年内2例发生吻合口狭窄，并发肝内胆管结石，再次手术取石并扩大吻合口治愈。一次手术治愈率90．5％（19／21）。本组无反流性胆管炎及胆管癌发生。结论：应用胆总管囊肿切除后行空肠间置的胆肠吻合术治疗I型胆总管囊肿，并尽量扩大吻合口，为可行有效的术式。

Clinical analysis of 21 cases of treating I type congenital choledoch cyst by the operation of interpositional jejunum after excising cyst

Objective：To explore the operation selection and the therapeutic effect in 1 type congemtal choledoehal cyst. Methods：To analyse the date of 21 cases of treating I type congenital choledoch cyst using cholangiojejunostomy with the operation of interpositional jejunum after excising cyst. Results：2 patients＇ anastomosis leaked bile which were cured by the conservative treatments after the operation in early time. 2 patients＇ anastomosis occurred narrow and concurred stone inside the bile ducts of the liver which were cured by expanding the anastomotic stoma and taking out the stone in 1 year. The cure rate was 90.5% （19/21） at once operation. There didn＇t occur regurgitation cholangitis and bile duct cancers in this group. Conclusion： It＇s practical and effective operation selection to treat I type congenital choledoch cyst using cholangiojejunostomy with the operation of interpositional jejunum after excising cyst, and with expanding the anastomotic stoma of cholangiojejunostomy as far as possible.