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目的 提高对先天性胆总管囊肿的诊断和治疗水平。方法 回顾性总结分析沂蒙山区４所市直医院２４ 年间收治的先天性胆管囊肿５４ 例。结果 经 Ｂ 超检查的确诊率为９６ ．３ ％ ， Ｃ Ｔ 检查的确诊率为１００ ％ 。５４ 例均经手术治疗，其中囊肿十二指肠吻合２ 例中１ 例再次手术；囊肿部分切除、囊肿空肠 Ｒｏｕｘ － ｅｎ － Ｙ 吻合８ 例中再次手术１ 例；４４ 例囊肿切除、肝总管空肠 Ｒｏｕｘ － ｅｎ － Ｙ 吻合（ 综合性方法） 术后均无临床不适，无逆行感染。结论 对怀疑先天性胆总管囊肿病人，应行 Ｂ超、 Ｃ Ｔ 等检查。一旦确诊，应及早手术，并做好围手术期处理，手术以囊肿切除、肝总管空肠 Ｒｏｕｘ －ｅｎ － Ｙ（ 综合性方法） 吻合为好。
Objective To improve the diagnosis and treatment of congenital choledochal cyst. Methods A retrospective analysis was made on 54 cases of congenital choledochal cyst treated in 4 hospitals in Yimeng Mountain in 24 years. Results The diagnosis rate of B ultrasound examination was 96. 3%, C T examination confirmed the rate was 100%. 54 cases were surgically treated, of which 1 case was reoperated in 2 cases of duodenal anastomosis, 1 case was reoperated in 8 cases of Roux - en - Y cyst, 1 case was resected, 44 cases were resected, Roux - en - Y anastomosis (comprehensive method) after surgery without clinical discomfort, no retrograde infection. Conclusions Patients with suspected congenital choledochal cyst should be diagnosed with B-ultrasound and CT. Once diagnosed, surgery should be as soon as possible, and do perioperative management, surgery to cyst excision, jejunum Roux-en-Y (integrative) anastomosis as well.