LI Yong,YIN Qiang,ZHOU Xiao yu,et al.The clinic application experience on intraoperative cholangiography in pediatric surgery.[J].Journal of Clinical Pediatric Surgery,2010,9(06):430.
术中胆道造影在先天性胆总管囊肿手术中的应用
- Title:
- The clinic application experience on intraoperative cholangiography in pediatric surgery.
- 文献标志码:
- A
- 摘要:
- 目的探讨术中胆道造影在先天性胆总管囊肿切除术中的应用价值。方法回顾性分析55例先天性胆总管囊肿患儿行术中选择性胆道造影的临床资料。结果55例均经术中胆道造影证实为先天性胆总管囊肿，其中囊状34例，梭状21例。通过术中造影，发现胆管狭窄11例，胆总管末端充盈缺损25例，胰胆管合流异常50例。结论胆总管囊肿切除术中应用胆道造影可较好地指导手术，有效提高手术质量，防止胆道损伤的发生，值得临床常规应用。
- Abstract:
- Objective To discuss the experience of intraoperative cholangiography during choledochal lyst (CCC) excision.Methods55 cases with CCC who underwent cholangiography were analyzed retrospectively.ResultsOf them, we fund stenosis of bile (11 cases), filling defect on the extreme of common bile duct (25 cases), pancreaticobiliary maljunction (50 cases).ConclusionsIntraoperative cholangiography during CCC excision is worth of routine clinic application, which could direct resection of total choledochal cysts, improve operation quality and prevent the biliary tract injury.
参考文献/References:
1公伟,李占元.胰胆管合流异常和胆胰疾病\[J\].中国现代普通外科进展,2005,(3)：138—140.2Ando H,Kaneko K,Ito F,et al.Operative treatment of congenital stenoses of the intrahepatic bile ducts inpatients with choledochal cysts\[J\].Am J Surg,1997,173(6):491—494.3董蒨,姜布先,张虹,等.先天性胆管扩张症合并肝内胆管扩张的特检意义及手术治疗对策的探讨\[J\].中华医学网络杂志,2004,1(8):1—5.4董蒨,姜布先,杨波,等.先天性胆管扩张症远近端胆管处理的要点及临床意义\[J\].中华小儿外科杂志,2001,22(5):293—295.5刘庚年,李松年.腹部放射诊断学\[M\].北京:北京医科大学,中国协和医科大学联合出版社,1993,206.
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