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[大网膜-门静脉-十二指肠固定术治疗婴儿胆管闭锁和发育不全]

[Omento-porto-duodeno-pexy in the treatment of bile-duct atresia and hypoplasia in infants].

作者信息

Waldschmidt J, Charissis G

出版信息

Z Kinderchir. 1983 Oct;38(5):320-9. doi: 10.1055/s-2008-1059997.

Abstract

From 1975 to 1982, central lymph drainage was performed in our hospital, on 12 infants with atresia of the intrahepatic bile ducts. The greater omentum was used for the drainage. It was mobilized and attached to the incised hilar lymph nodes and lymphatic vessels of the hepatic-duodenal ligament and to the decapsulated duodenum. In two children, this method was combined with Kasai's operation. These two children developed cirrhosis of the liver. Only one of the other 10 children, who underwent our own procedure, has developed cirrhosis so far. The remaining 9 children show no signs of liver damage.

摘要

1975年至1982年期间,我院对12例肝内胆管闭锁的婴儿实施了中央淋巴引流术。采用大网膜进行引流。将大网膜游离并附着于切开的肝门淋巴结、肝十二指肠韧带的淋巴管以及剥除包膜的十二指肠。在两名儿童中,该方法与Kasai手术联合使用。这两名儿童发展为肝硬化。在接受我们自己手术方法的其他10名儿童中,到目前为止只有一名发展为肝硬化。其余9名儿童未表现出肝损伤迹象。

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