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目的 寻找治疗小儿先天性胆总管囊肿合并严重感染的最佳治疗方法 ,以减少术后并发症 ,提高治愈率和生活质量。方法 对 16例小儿先天性胆总管囊肿合并严重感染采取的不同治疗方法进行回顾性临床分析 ,探讨不同的治疗方式对其预后的重要性。结果 本组中 9例先行囊肿外引流术 ,再行囊肿切除、胆道重建术 ,均治愈 ;3例I期囊肿切除、胆道重建术 ,其中 2例死亡 ,1例反复出理胆管炎 ;4例行囊肿空肠吻合术 ,其中 3例需要再次手术。结论 对于小儿先天性胆总管囊肿合并严重感染比较好的手术方法为先行囊肿外引流术 ,Ⅱ期再行囊肿切除、胆道重建术
Objective To find the best treatment for children with congenital choledochal cyst complicated with severe infection in order to reduce the postoperative complications and improve the cure rate and quality of life. Methods A retrospective clinical analysis of 16 different treatment methods for children with congenital choledochal cyst complicated with severe infection was conducted to investigate the importance of different treatment modalities for their prognosis. Results In this group, 9 cases were treated with cyst drainage before cyst excision and biliary reconstruction, and 3 cases with stage I cyst resection and biliary reconstruction, of which 2 died and 1 case recurred cholangitis. In 4 cases Cyst jejunum anastomosis, of which 3 cases require reoperation. Conclusion For children with congenital choledochal cyst with severe infection is better surgical method for the first cyst drainage, second cyst resection, biliary reconstruction