一项关于胆道闭锁肝门肠吻合术后胆管炎的研究。
A study on cholangitis after hepatic portoenterostomy for biliary atresia.
作者信息
Liu J, Li G, Lai B
机构信息
Department of Pediatric Surgery, First Affiliated Hospital of Sun Yat-sen University Medical Sciences, Guangzhou, China.
出版信息
Chin Med J (Engl). 1997 May;110(5):335-7.
OBJECTIVE
To investigate the clinical manifestations and factors relating to prognosis in biliary atresia (BA).
METHODS
Twenty-four cases were reviewed on clinical manifestations and bile flow after operation. All patients underwent hepatic portoenterostomy.
RESULTS
Twenty-three cases (95%) got bile flow postoperatively. Sixteen (69%) of 23 patients had 27 episodes of cholangitis. There were significant differences (P < 0.05) in the amount and bilirubin concentration of bile flow before and after cholangitis. Cholangitis also affected the life quality of BA patients.
CONCLUSION
We consider that early finding and prevention of cholangitis can improve the prognosis of BA patients.
目的
探讨胆道闭锁（BA）的临床表现及与预后相关的因素。
方法
回顾性分析24例患者的临床表现及术后胆汁引流情况。所有患者均接受了肝门空肠吻合术。
结果
23例（95%）患者术后有胆汁引流。23例患者中有16例（69%）发生了27次胆管炎。胆管炎发作前后胆汁引流量及胆红素浓度存在显著差异（P < 0.05）。胆管炎也影响了BA患者的生活质量。
结论
我们认为早期发现并预防胆管炎可改善BA患者的预后。
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