婴儿先天性胆总管囊肿的诊断与治疗

目的：探讨婴儿先天性胆总管囊肿诊断和治疗的方法。方法：回顾性分析16例婴儿先天性胆总管囊肿的诊断和治疗。结果：B超确诊15例（93.8%)。CT检查2例，MRI检查2例和MRCP检查5例均确诊。15例手术治疗，1例放弃治疗。胆总管囊形扩张13例，梭形扩张2例，痊愈12例，术后吻合口梗阻1例，早期肝硬化死亡3例。结论：及早解除胆道梗阻可使肝功能损害逆转，因此婴儿胆总管囊肿应早期手术治疗。

Experience of diagnosis and therapy of infantile choledochocyst

Objective: To discuss the way in diagnosis and treatment of the infantile choledochocyst. Methods: 16 cases of infantile choledochocyst were analyzed. Results: 15 cases (93.8%) were confirmed by B type ultrasonic examination. CT?MRI and MRCP can also confirm the diagnosis. 15 cases accepted the surgical operation. In 13 cases the common bile duct showed cystic dilatation and in the other 2 the dilatation was fusiform. After the operation, 12 cases healed completely, 1 suffered from anastomotic obstruction and 3 died from early hepatocirrhosis. Conclusion: The injury of liver function can be reversed only after the obstruction of biliary tract being removed. So, it is important to do operation in the early stage of the illness.