［摘要］目的：探讨Ⅰ型先天性胆总管囊肿的手术方式及疗效。方法：对切除囊肿行空肠间置胆肠吻合手术治疗的Ⅰ型先天性胆总管囊肿21例临床资料进行分析。结果：手术后早期发生2例吻合口胆汁漏，均经保守治疗漏口愈合；1年内2例发生吻合口狭窄，并发肝内胆管结石，再次手术取石并扩大吻合口治愈。一次手术治愈率90.5%(19/21)。本组无反流性胆管炎及胆管癌发生。结论：应用胆总管囊肿切除后行空肠间置的胆肠吻合术治疗Ⅰ型胆总管囊肿，并尽量扩大吻合口，为可行有效的术式。
［关键词］胆总管囊肿；空肠间置；反流性胆管炎；胆管癌
[中图分类号] R657.4 [文献标识码]B [文章编号]1673-7210（2008）09（b）-173-02
Clinical analysis of 21 cases of treating Ⅰtype congenital choledoch cyst by the operation of interpositional jejunum after excising cyst
WANG Rui
（Department of surgery, Lanshan district People’s Hospital of Linyi, Linyi276002, China）
[Abstract] Objective：To explore the operation selection and the therapeutic effect inⅠtype congenital choledochal cyst. Methods：To analyse the date of 21 cases of treatingⅠtype congenital choledoch cyst using cholangiojejunostomy with the operation of interpositional jejunum after excising cyst. Results：2 patients’ anastomosis leaked bile which were cured by the conservative treatments after the operation in early time. 2 patients’ anastomosis occurred narrow and concurred stone inside the bile ducts of the liver which were cured by expanding the anastomotic stoma and taking out the stone in 1 year. The cure rate was 90.5% (19/21) at once operation. There didn’t occur regurgitation cholangitis and bile duct cancers in this group. Conclusion: It’s practical and effective operation selection to treatⅠtype congenital choledoch cyst using cholangiojejunostomy with the operation of interpositional jejunum after excising cyst, and with expanding the anastomotic stoma of cholangiojejunostomy as far as possible.
[Key words]Choledoch; Interpositional jejunu; Regurgitation cholangitis; Bile duct cancer
先天性胆总管囊肿的手术方式较多，目前主要采取胆总管囊肿切除及胆道重建术。（剩余1716字）