| 巨大型先天性胆管扩张症手术治疗20例 |
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| 引用本文： | 李忠廉,张西波,尚海涛,张鸿涛,鲍建亨,郑帅.巨大型先天性胆管扩张症手术治疗20例[J].世界华人消化杂志,2011(28). |
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| 作者姓名： | 李忠廉 张西波 尚海涛 张鸿涛 鲍建亨 郑帅 |
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| 作者单位： | 天津市南开医院肝胆外科;天津医科大学研究生院; |
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| 摘 要： | 目的:探讨巨大型先天性胆管扩张症手术治疗的经验体会.方法:回顾分析2001-06/2010-08我科收治的巨大型先天性胆管扩张症20例手术治疗资料.按Todani分类法分型:Ⅰ型19例,Ⅳ型1例.所有病例均行囊肿切除.结果:术后胆汁漏2例,胰漏2例,经非手术治疗治愈,切口感染2例.20例中获随访19例,随访率为95%,随访3-96mo,平均随访53.6mo,3例表现轻度胆管炎,2例吻合口狭窄,余下疗效皆为优,未发现恶变者.结论:囊肿切除、胆肠Roux-en-Y吻合术是根治先天性胆管扩张症首选手术方法.对于巨大型先天性胆管扩张症在选择手术时,术前行PTCD治疗以改善肝功能和凝血异常.
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| 关 键 词： | 先天性胆管扩张症 巨大型 手术治疗 |
Surgical treatment of giant congenital bile duct dilatation:an analysis of 20 cases |
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| Zhong-Lian Li,Xi-Bo Zhang,Hai-Tao Shang,Hong-TaoZhang,Jian-Heng Bao.Surgical treatment of giant congenital bile duct dilatation:an analysis of 20 cases[J].World Chinese Journal of Digestology,2011(28). |
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| Authors: | Zhong-Lian Li Xi-Bo Zhang Hai-Tao Shang Hong-TaoZhang Jian-Heng Bao |
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| Institution: | Zhong-Lian Li,Xi-Bo Zhang,Hai-Tao Shang,Hong-TaoZhang,Jian-Heng Bao,Department of Hepatobiliary Surgery,Tianjin Nankai Hospital,Tianjin 300100,China Shuai Zheng,Graduate School,Tianjin Medical University,Tianjin 300070,China |
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| Abstract: | AIM:To discuss our experience of surgical treatment of giant congenital bile duct dilatation.METHODS:The clinical data for 20 patients with giant congenital bile duct dilatation who underwent cyst excision at our hospital from June 2001 to August 2010 were retrospectively analyzed.RESULTS:According to the Todani classification,19 patients had type 1 disease and 1 had type IV disease.After surgery,bile leakage occurred in two cases,pancreatic leakage in two cases,and wound infection in two cases.Ninety patie... |
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| Keywords: | Congenital biliary dilatation Giant Surgery |
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