天津医药 ›› 2016, Vol. 44 ›› Issue (7): 801-802.doi: 10.11958/20160274

• 专题研究·胆道闭锁与肝移植 •    下一篇

胆道闭锁的诊疗历程及思考

张金哲   

  1. 首都医科大学附属北京儿童医院(邮编 100045)
  • 收稿日期:2016-04-08 修回日期:2016-04-12 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 张金哲 E-mail:zjz@136.com

Current thinking on the treatment of biliary atresia

ZHANG Jinzhe   

  1. Beijing Children’ s Hospital, Capital Medical University, Beijing 100045, China
  • Received:2016-04-08 Revised:2016-04-12 Published:2016-07-15 Online:2016-07-15
  • Contact: ZHANG Jinzhe E-mail:zjz@136.com

摘要: 本文对国内外胆道闭锁的诊疗过程进行了历史性回顾, 分析了胆道闭锁的诊疗现状, 指出目前尚无全国性登记系统, 胆道闭锁的早期筛查工作未能全面开展, 并从手术时间、术后胆管炎及胆汁性肝硬变等方面对葛西术后的影响因素提出了自己的看法, 建议改善胆道闭锁患儿的预后需要全国多中心协作。

关键词: 胆道闭锁, 筛查, 葛西手术, 肝移植

Abstract: This article made a historic review on the treatment and diagnosis process of biliary atresia at home and abroad, and analyzed the problems of diagnosis and treatment on biliary atresia. The author points out that there is no registered system in domestic, which results in screening job has been unable to conduct substantive work for many years. The author also puts forward his own views about the postoperative influence factors including the time of Kasai operation, postoperative cholangitis, biliary cirrhosis and other issues, and suggests that improving the prognosis of children with biliary atresia needs the cooperation among national colleagues to work together.

Key words: biliary atresia, screening, Kasai operation, liver transplantation