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目的探讨腹腔镜在婴儿巨细胞病毒性肝炎(淤胆型)治疗中的应用。方法对10例采取腹腔镜直视下胆道冲洗治疗的巨细胞病毒性肝炎(淤胆型)患儿的临床资料进行分析。结果10例患儿治疗后丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、总胆红素(TBIL)、直接胆红素(DBIL)水平均低于治疗前(P<0.05,P<0.01)。结论婴儿巨细胞病毒性肝炎(淤胆型),经内科治疗后疗效不明显者,可行腹腔镜下胆道冲洗,能取得较好的疗效。
Objective To investigate the application of laparoscopy in the treatment of infantile cytomegalovirus hepatitis (cholestasis). Methods The clinical data of 10 children with cytomegalovirus (cholestasis) treated with laparoscopic biliary flushing were analyzed. Results The levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL) and direct bilirubin (DBIL) in 10 children after treatment were lower than those before treatment P <0.05, P <0.01). Conclusion Infant cytomegalovirus hepatitis (cholestatic), after curative effect is insignificant, can be laparoscopic biliary flushing, can achieve better curative effect.