期刊文献+

新生儿肝外胆道囊性病变的诊断与治疗 预览

Diagnosis and Treatment of Extrahepatic Biliary Cystic Lesions in Neonates
在线阅读 免费下载
收藏 分享 导出
摘要 目的:对新生儿肝外胆道囊性病变的诊断与治疗情况进行分析。方法:以新生儿肝外胆道囊性病变患者为研究对象,例数为10例,时间为2016年8月至2018年5月,对术中胆道造影、腹腔镜、CT、B超、肝功能以及临床表现等进行观察分析。结果:两组患者肝功能指标水平差异无统计学意义(P>0.05);胆总管囊肿患者的胆囊宽、胆囊长、囊肿宽、囊肿长均大于胆道闭锁患者,差异有统计学意义(P<0.01)。结论:新生儿多种胆道畸形均可使其出现肝外胆道囊性病变的表现,实施术中腹腔镜以及B超检查,可较好对新生儿肝外胆道囊性病变进行鉴别诊断,为其疾病的治疗提供依据。 Objective:To analyze the diagnosis and treatment of extrahepatic biliary cystic lesions in neonates. Methods:A total of 10 neonatal patients with extrahepatic biliary cystic lesions were studied from August 2016 to May 2018. Intraoperative biliary angiography, laparoscopy, CT, B-ultrasound, liver function and clinical manifestations were observed and analyzed. Results:There was no statistically significant difference in liver function between the two groups(P >0.05). The gallbladder width, gallbladder length, cyst width and cyst length of the patients with choledochocyst were all larger than the patients with biliary atresia, and the differences were statistically significant(P<0.01). Conclusion:A variety of biliary malformations in neonates can cause the appearance of extrahepatic biliary cystic lesions. Intraoperative laparoscopy and B-ultrasound examination can be used for the differential diagnosis of extrahepatic biliary cystic lesions in neonates, providing a basis for the treatment of the disease.
作者 李亚东 Li Yadong(Department of General Surgery, Kunming Children's Hospital, Kunming 650228, China;Department of Neonatal Surgery,Kunming Children's Hospital, Kunming 650228, China)
出处 《大理大学学报》 CAS 2019年第8期9-11,共3页 Journal of Dali University
关键词 新生儿 肝外胆道囊性病变 诊断 治疗 neonates extrahepatic biliary cystic lesions diagnosis treatment
作者简介 李亚东,主治医师,主要从事新生儿先天性结构畸形研究.
  • 相关文献

参考文献12

二级参考文献111

  • 1王玮,郑珊,沈淳,肖现民.新生儿巨细胞病毒感染与胆道闭锁肝脏纤维化的相关研究[J].中华小儿外科杂志,2005,26(9):464-466. 被引量:25
  • 2沈淳,郑珊,王玮,肖现民.手术年龄对胆道闭锁Kasai手术后预后影响的研究[J].临床小儿外科杂志,2007,6(3):10-12. 被引量:17
  • 3Nio M, Ohi R, Miyaho T, et al. Five and 10 -year survival rates after surgery for biliary atresia: A report from the Japanese Biliary Atresia Registry[J]. J Pediatr Surg,2003,38(7) :997 - 1000. 被引量:1
  • 4Alagille D. Extrahepatic biliary atresia [ J ]. Hepatology, 1984,4 (1 suppl) :7 - 10. 被引量:1
  • 5Davenport M. Biliary atresia [ J ]. Semin Pediatr Surg, 2005,14 ( 1 ) : 42 - 48. 被引量:1
  • 6Riepenhoff - Talty M, Gouvea V, Evans M J, et al. Detection of group crotavirus in infants with extrahepatic biliary atresia[ J]. J Infect Dis, 1996, 174(1) :8 -15. 被引量:1
  • 7Mack CL,Tucker RM,Sokol RL,et al. Biliary atresia is associated with CD4+ Th1 cell - mediated portal tract inflammation [ J ]. Pediatr Res, 2004,56(1) :79-87. 被引量:1
  • 8Desmet VJ. Congenital disease of intrahepatic bile ducts : Variations in the theme "ductal plate malformation" [ J ]. Hepatology, 1992,16 (4) : 1069 - 1083. 被引量:1
  • 9Shimadera S, Iwai N, Degnchi E, et al. Significance of ductal plate malformation in the postoperative clinical course of biliary atresia[ J]. J Pediatr Surg,2008,43 ( 2 ) : 304 - 307. 被引量:1
  • 10Hsieh CS, Huang LT, Lee SY ,et al. Evaluation of hepatocyte growth factor in patients with biliary atresia [ J ]. J Pediatr Surg, 2008,43 ( 7 ) : 1333 - 1337. 被引量:1

共引文献100

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