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目的 :回顾性分析先天性胆总管囊肿 3 6例外科治疗结果。方法 :3 6例中男 6例 ,女 3 0例 ;年龄 5 0天～ 12岁 ,平均 2岁10个月 ;采用y术 11例 ,空肠间置术 2 1例 ,回盲间置术 4例。结果 :经上消化道钡餐检查 16例 ,有胆道返流 5例。y术上消化道钡餐检查 6例 ,2例有返流。空肠间置术上消化道钡餐检查 7例 ,3例有返流。回盲间置术上消化道钡餐检查 3例 ,均未见返流。结论 :y术是治疗先天性胆总管囊肿最常见的术式 ,目前在临床广泛应用。空肠间置术使胆汁排泄符合生理要求 ,但手术操作相对复杂 ,抗返流效果未见明显优于其它术式 ,目前临床应用在减少。回盲间置术抗返流效果较显著 ,但手术操作复杂 ,破坏了肠道原有解剖结构 ,且远期疗效尚待观察 ,争议较大 ,目前临床较少采用
Objective: To retrospectively analyze 36 cases of surgical treatment of congenital choledochal cyst. Methods: There were 6 males and 30 females in 36 cases, aged 50 days to 12 years, with an average of 2 years and 10 months. 11 cases were treated with y technique, 21 cases with jejunal interposition and 4 cases with ileostomy example. Results: The upper gastrointestinal barium meal examination of 16 cases, 5 cases of biliary reflux. y surgery barium meal digestive tract examination in 6 cases, 2 cases of reflux. Jejunal interposition of upper gastrointestinal barium meal examination in 7 cases, 3 cases of reflux. Ileocecal placed upper gastrointestinal barium meal examination in 3 cases, were no return. Conclusion: y surgery is the most common surgical treatment of congenital choledochal cysts, is currently widely used in clinical practice. Jejunal interposition of bile excretion in line with physiological requirements, but the operation is relatively complicated, anti-reflux effect was not significantly better than other surgical procedures, the current clinical application is reduced. Ileostomy surgery anti-reflux effect is more significant, but the operation is complicated, undermining the original intestinal anatomy, and long-term efficacy remains to be seen, controversial, less clinical use