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目的探讨重症胆总管囊肿的有效治疗方法，以减少术后并发症，提高治愈率和生活质量。方法对８例小儿重症胆总管囊肿患者采取不同的治疗方式进行临床分析，探讨不同的治疗方式对其预后的重要性。结果本组４例小儿重症胆总管囊肿病人先行外引流术后，再行囊肿切除、胆道重建术，均治愈。３例采取一期胆道重建术，死亡２例；１例未及手术死亡。结论对小儿重症胆总管囊肿病人较为理想的手术方法是先行外引流，二期再行囊肿切除胆道重建术。
Objective To explore the effective treatment of severe choledochal cyst in order to reduce the postoperative complications and improve the cure rate and quality of life. Methods 8 cases of pediatric patients with severe cholecystic cyst were treated with different methods of clinical analysis to explore the importance of different treatment methods for its prognosis. Results In this group of 4 pediatric patients with severe choledochal cyst undergoing external drainage, cyst excision and biliary reconstruction, were cured. Three patients underwent one-stage biliary reconstruction, with 2 deaths; 1 patient died without surgery. Conclusion The ideal surgical method for pediatric patients with severe choledochal cyst is external drainage and secondary cyst excision.