改良肝总管空肠roux-y型吻合术治疗先天性胆管扩张症的疗效评价

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1、山东大学硕士学位论文7casesperforatedduringthel7casesunderwentthemodifiedhepaticojejunostomywhentheywereadmittedintohospital，theagerangefrom1．4yearsto3．3years．2caseswithankylenteron,1casewithcuttinginfection,3caseswi廿lcuttingsplittingaftertheoperation,theagerangefrom21daysto2monthsyears．Allthecas

2、esfollowedupwerediagnosedbyB-modeultrasoundscanningandCT，duringthem12casesarescannedbyMRIandbeendiagnosed．Duringourfollowing-up，60c娜areclassifiedinto3groups，accordingtothestandardclinicalscoringsystems．40(66．7％)CflSeshavenostomachacheandtheydon’tneedtocontrolfood．17(28．3％)caseshavestom

3、achachesometimes，tlleyhavenofeverandjaundice,meyhavenoneedofespecialtreatmenL3(5％)caseshavestomachachefrequently,theyneedoutpatienttreatmentorhospitalizationsometimes．B-modeultrasoundscanningweremadeinallcases，11(18．3％)caseshavereflux，lease(1．7％)withcalculusofbileduct；Gastroenterograph

4、wereperformedin21cases，5CaSes丽mgastritis，othersarenormal．Duringthe60cases，6eases(10％)withintroversionalcharacterbecauseoftheabdominalscaCTheresultofhepaticfunctiontest，biochemistryandhemocytesexaminationswerenormal．Growthanddevelopmentwerenormalinthechildrenwhowerefollowedup．60casesare

5、classifiedinto3groupsaccordingtotheages：babies(below12months)，infants(13months"--3years)，children(3years"-"14years)．Becausecomplicationsafteroperationaredifferent，weclassifychildrenintotwogroups：babies(SlY)和children(>1Y)．ThedatawereanalyzedbySPSSsoftware．Statisticalsignificancewasevalu

6、atedusingSPSSsoftware，andaPvalueoflessthan0．05wasregardedasasignificantdifference．Conclusion(1)Thechildrenwho、Ⅳitllperforationofcholedochusareusuallyveryseriousandhasahighmortality．Allfollowedpatientswereperformedbyinternaldrainage、jl，itha‘‘1'，’tube,thenweretreatedwiththemodifiedhepati

7、cojejunostomy，theyallobtained900deffectivness．(2)Althoughthechildren丽mCBDWel-efairlyrarebelow3months，meirpathologyandphysiologystatechangedobviously．Alsomeirhepaticfunctionandnutritionalstatewerebad．thosepatientscaneasilyocgursomecomplications，forexample，ankylenteron,intestinalobstru