论文部分内容阅读
研究56例无胆道扩张的新生儿及婴儿梗阻性黄疸的临床特点及外科手术时机及效果。超声证实无肝内外胆道扩张的新生儿及婴儿梗阻性黄疸,均行手术探查及病理学检查。手术证实56例梗阻性黄疸中有30例为胆汁粘稠症,并经胆道冲洗治愈;26例为胆道闭锁,预后不良。二者在肝内小胆管增生这一病理改变上存在一致性,可能是对胆道梗阻的代偿机制之一。对于超声提示无肝内外胆道扩张的新生儿及婴儿梗阻性黄疸,经1～2周的抗炎、保肝、利胆治疗无效后,应及时手术探查,以使胆汁粘稠症的患儿得到有效治疗。
To study the clinical features, surgical timing and effects of 56 cases of obstructive jaundice without biliary dilatation in neonates and infants. Ultrasound confirmed no extrahepatic bile duct dilatation of neonates and infants with obstructive jaundice, both surgical exploration and pathological examination. Surgery confirmed that 56 cases of obstructive jaundice in 30 cases of biliary thickening and biliary flushing cure; 26 cases of biliary atresia, poor prognosis. The two in small intrahepatic bile duct hyperplasia of the pathological changes in the consistency may be one of the compensatory mechanism of biliary obstruction. Ultrasound prompts no extrahepatic bile duct dilatation of newborns and infants with obstructive jaundice, after 1 to 2 weeks of anti-inflammatory, liver and gallbladder treatment is invalid, surgical exploration should be promptly so that children with biliary viscous disease Effective treatment.