先天性胆管囊状扩张症不同术式分析

目的　比较先天性胆管囊状扩张症不同术式的疗效。方法　回顾性分析 198例先天性胆管囊状扩张症不同外科治疗方式的随访结果。结果　囊肿全切除组疗效明显优于囊肿次全切除组和单纯囊肿内引流组 ,后者易并发继发性胆管结石、胆管炎及残留囊状扩张胆管癌变。结论先天性胆管囊状扩张症手术方式首选根治性囊肿切除 ,合并局限性肝内胆管囊状扩张者应联合实施肝部分切除 ,应尽量避免采用囊肿大部切除或单纯囊肿内引流。

A comparison study of different surgical procedure for congenital cystic dilatation of the bile duct

Objective To compare therapeutic effects of differe nt surgical treatments of congenital cystic dilatation of the bile duct. Methods The follow-up results of operative procedure in 198 ca ses of congenital cystic dilatation of the bile duct with were retrospectively a nalysed. Results The therapeutic effect of the radical resection group w as obviously better than that in other subresection and simple inner drainage gr oups. The latter was easily complicated highly related with secondary calculus o f bile duct, cholangitis and remained focal carcinomatous change. Conclusions Radical resection is the best surgical procedure fo r congenital cystic dilatation. Partial liver resection is an indication for th e disease complicated with local intrahepatic bile duct cystic dilatation. Non- radical operation or simple inner cyst drainage should be avoided.