论文部分内容阅读
目的:探讨儿童胆石症的临床特点与治疗对策。方法:回顾性总结过去20年间在该院治疗的小儿胆石症128例临床资料,其中男71例,女57例,年龄10个月～14岁,平均8.6岁。胆囊结石68例,胆总管结石41例,肝内胆管结石19例。结果:除3例胆道闭锁肝内左、右胆管多个结石未能取尽及另1例左肝管结石术后结石残留外,其余全部手术治愈出院,无并发症发生。结论:小儿胆石症缺乏典型症状,诊断确定应行手术治疗,胆总管切开应严格掌握指征。
Objective: To explore the clinical features and treatment of cholelithiasis in children. Methods: A retrospective review of 128 cases of pediatric cholelithiasis treated in the past 20 years, including 71 males and 57 females, aged from 10 months to 14 years (average 8.6 years). 68 cases of gallbladder stones, common bile duct stones in 41 cases, 19 cases of intrahepatic bile duct stones. Results: Except for three stones in the left biliary tract and the right bile duct failed to be removed and the remaining one was left after the left hepatic duct stone was removed, all other surgeries were discharged without complication. Conclusion: Pediatric cholelithiasis lacks the typical symptoms. The diagnosis should be confirmed by surgical treatment. Common bile duct incision should be strictly controlled.