论文部分内容阅读
各种先天性、后天性胆道疾患的治疗研究正方兴末艾。如先天性胆道闭锁的某些类型因缺乏肝外胆道。就需要重建;后天性各种原因引起的胆道炎症(包括胰腺炎伴发的胆道感染)在抗炎、禁食、消化腺抑制剂等综合治疗后,仍无效果,甚至引起胆道梗阻或狭窄,此时就需外科给于重建胆道。此外,儿童的胆道外伤,常在上腹部有深压痛而作B超、CT检查得以确诊无肝脏损伤者,有时需经外科手术修复或置T管引流,必要时需重建胆道。而胆道炎症、梗阻性黄疸患者的围手术期治疗非常重要,处理得当常可减少外科手术后的并发症。为之,儿内、儿外科医师正在合力研究解决胆道疾患者的术前治疗及胆道重建术后减少并发症的问题。 一、运用各种生物材料重建胆道 早在1905年Jenckle
A variety of congenital, acquired biliary disease treatment research Fang Xing Mei Ai. Some types of congenital biliary atresia, such as the lack of extrahepatic biliary tract. Need to be reconstructed; acquired biliary inflammation caused by various causes (including pancreatitis with biliary tract infection) in the anti-inflammatory, fasting, digestive gland inhibitors and other comprehensive treatment, still no effect, and even cause biliary obstruction or stenosis, Surgical need to reconstruct the biliary tract at this time. In addition, children with biliary trauma, often in the upper abdomen with deep tenderness for B-ultrasound, CT examination was confirmed no liver injury, and sometimes required by surgical repair or set T-tube drainage, if necessary, the reconstruction of the biliary tract. Perioperative management of patients with biliary inflammation and obstructive jaundice is very important, and properly managed to reduce postoperative complications. As a result, pediatric and pediatric surgeons are working together to address the issue of reducing complications after biliary disease surgery and biliary reconstruction. First, using a variety of biomaterials to reconstruct biliary back in 1905 Jenckle