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本文报告14例先天性胆总管囊肿的诊断,除有腹痛、右上腹包块和黄疸三联征外,超声检查右上腹有囊性肿物,钡餐透视胃和12指肠向左移,即可考虑本病。80%发生于女性,90%小于20岁。误诊原因是缺乏对本病的认识。诊断一经成立,均应手术治疗。术中先行囊肿穿刺,证实诊断后酌情选择术式。文中强调内引流术后,胆囊失去正常功能应一并切除。为预防吻合口瘘,采用了肠腔和肝下引流。为防止食物逆流和感染,采用遮断术或间置空肠、顺蠕动人工空肠套叠、胆(或肝)总管12指肠吻合术,能防止溃疡病发生,有其优越性。
This article reports the diagnosis of 14 cases of congenital choledochal cysts. Except for abdominal pain, right upper abdominal masses, and triple jaundice, ultrasound examination of cystic masses in the right upper quadrant, barium meal, perspective stomach, and 12-intestine leftwards can be considered. The disease. 80% occur in women and 90% are less than 20 years old. The reason for misdiagnosis is the lack of understanding of the disease. Once the diagnosis is established, it should be treated surgically. Intraoperative cyst puncture was first performed to confirm the choice of surgical procedure after diagnosis. The article emphasizes that after internal drainage, gallbladder loss should be removed. In order to prevent anastomotic leakage, intestinal cavity and sub-hepatic drainage were used. In order to prevent food reflux and infection, the use of occlusive or interposition jejunal, peristaltic artificial jejunal intussusception, biliary (or hepatic) ureterostomy, can prevent the occurrence of ulcer disease, and has its advantages.