Akzhigitov G N, Petreniuk V S, Perepelkin A I
Khirurgiia (Mosk). 1996(4):18-21.
The article contains the data about the examination and surgical treatment of 21 children with cholelithiasis, most of them girls (6:1). There were 7 children at the age between 4 and 10 and 14 children at the age between 11 and 14 years. 15 patients had accompanying diseases of the gastrointestinal tract. Cholelithiasis in children generally may be caused by abnormalities of biliary tract formation. The ultrasonography is the most informative method of the diagnosis of the biliary tract diseases. This method enables early surgery and preventing involvement of other organs into pathological process to aroid complications. 18 patients had cholecystectomy and 3 patients had the additional lithotomy with papillosphincteroplasty. The remote results within 1 to 4 years were very good in 19 patients. Two patients were reoperated because of major duodenal papilla stenosis and cholelithiasis relapse.
本文包含21例儿童胆结石患者的检查及手术治疗数据,其中大多数为女孩(男女比例为6:1)。年龄在4至10岁的儿童有7例,11至14岁的儿童有14例。15例患者伴有胃肠道疾病。儿童胆结石通常可能由胆道形成异常引起。超声检查是诊断胆道疾病最具信息量的方法。该方法能够实现早期手术,并防止其他器官卷入病理过程以避免并发症。18例患者接受了胆囊切除术,3例患者进行了额外的取石术及乳头括约肌成形术。19例患者在1至4年的远期结果非常好。2例患者因十二指肠乳头严重狭窄和胆结石复发而接受了再次手术。