期刊文献+

腹腔镜在婴幼儿胆管发育不良与胆汁淤积症诊治中的应用 被引量:5

Application of laparoscopy in the diagnosis and treatment of congenital bile duct hypoplasia and cholestasis in infants
收藏 分享 导出
摘要 目的探讨腹腔镜在胆管发育不良与胆汁淤积症诊断和治疗中的应用.方法回顾性分析近年18例婴幼儿胆管发育不良与胆汁淤积症的临床资料.结果所有病例均经腹腔镜行胆道造影明确诊断,其中胆管发育不良10例,胆汁淤积8例.10例胆管发育不良中,7例中转开腹行扩大肝门肝肠吻合术,3例胆道外引流、置管冲洗术;8例胆汁淤积中,2例单纯胆道减压、冲洗,6例胆囊造瘘,术中术后分别灌洗.结论腹腔镜探查、胆道造影是诊断胆管发育不良与胆汁淤积症的简便、准确、易行的方法,胆管发育不良可行扩大肝门肝肠吻合术,或胆道减压、胆管灌洗术.胆汁淤积症的患儿,可行胆囊造瘘、胆道灌洗,并可免除开腹手术. Objective To explore application of laparoscopy for the diagnosis and treatment of congenital bile duct hypoplasia and cholestasis in infants. Methods The records of 18 patients with congenital bile duct hypoplasia (10) and cholestasis (8) were reviewed retrospectively.Results The diagnosis of the 18 infants was confirmed by the laparoscopic cholangiography. The biliary duct cannula and biliary duct irrigation were performed in 5 cases. Cholecyst stoma was created in 6 infants. Seven infants with congenital bile duct hypoplasia were converted to open surgery for the hepaticoportoenterostomy. Conclusions Laparoscopy is accurate and reliable in the diagnosis and treatment of congenital bile duct hypoplasia and cholestasis in infants. It is less invasive and convenient to decompress and irrigate the biliary tract in condition of cholestasis so that patient with cholestasis could possibly avoid open surgery.
作者 任红霞 李龙 陈兰萍 黄柳明 贾钧 付京波 REN Hong xia, LI Long, CHEN Lan ping, HUANG Liu ming,JIA Jun,FU Jing bo. Department of Pediatric Surgery, Shanxi Children's Hospital, Taiyuan 030013, China
出处 《中华小儿外科杂志》 CSCD 北大核心 2004年第4期 304-306,共3页 Chinese Journal of Pediatric Surgery
关键词 腹腔镜 婴幼儿 胆管发育 胆汁淤积症 开腹手术 Cholestasis Bile duct diseases Surgical procedures,laparoscopic
  • 相关文献

参考文献7

  • 1John F, William F. Neonatal Jaundice. In: Mattei P. Surgical Directives Pediatric Surgery. Lippincott Williams & Wilkins: Philadelphia, 2002. 535-550. 被引量:1
  • 2Iinuma Y, Narisawa R, Iwafuchi M, et al.The role of endoscopic retrograde cholangiopancreatography in infans with cholestasis.J Pediatr Surg,2000,35:545-549. 被引量:1
  • 3Hay SA, Soliman HE, sheriff HM, et al.Neonatal jaundice:The role of laparoscopy. J Pediatr Surg, 2000,35:1706-1709. 被引量:1
  • 4Abes M,Sarihan H,Cobanoglu U.A treatment for biliary hypoplasla:tube cholecystostomy and irrigation.Eur J Pediatr Surg,2003,13:21-25. 被引量:1
  • 5Schier F, Waldschmidt J.Experience with laparoscopy for the evaluation of cholestasis in newborns.Surg Endosc,1990,4:13-14. 被引量:1
  • 6李正 王慧贞 吉士俊.实用临床小儿外科学[M].北京:人民卫生出版社,2001,10.. 被引量:4
  • 7黄柳明,王平,刘刚,李龙.腹腔镜用于婴幼儿梗阻性黄疸诊断和治疗的评价[J].中国微创外科杂志,2003,3(1):15-16. 被引量:14

二级参考文献5

  • 1[1]Iinuma Y, Narisawa R, Iwafuchi M, et al. The role of endoscopic retrograde cholangiopancreatography in infants with cholestasis. J Pediatr Surg, 2000, 35:545-549. 被引量:1
  • 2[2]Fujimoto T, Segawa O, Lane GJ, et al. Laparoscopic surgery in newborn infants. Surg Endosc, 1999, 13: 773-777. 被引量:1
  • 3[3]Senyuz OF, Yesidag E, Emir H, et al. Diagnostic laparoscopy in prolonged jaundice. J Pediatr Surg, 2001, 36:463-465. 被引量:1
  • 4[4]Hay SA, Soliman HE, Sherif HM, et al. Neonatal jaundice: the role of laparoscopy. J Pediatr Surg, 2000, 35:1706-1709. 被引量:1
  • 5[5]Schier F,Waldschmidt J. Experience with laparoscopy for the evaluation of cholestasis in newborns. Surg Endosc, 1990, 4:13-14. 被引量:1

共引文献16

同被引文献61

引证文献5

二级引证文献13

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈