Abstract
Objective To explore the value of laparoscopic-assisted with methylene blue staining in biliary for the diagnosis of obstructive jaundice in infants.Methods 32 infants with obstructive jaundice, 12 male and 20 female, which were day of 52 ～ 155 ( average 68d ), were checked by laparoscopic-assisted with methylene blue staining in biliary and then inserted a catheter into the gallbladder for cholangiography.Results 10 cases were failed in laparoscopy because of the little gallbladder, while methylene blue staining in biliary showed congenital biliary atresia in 20 cases,cholestasis in 12.Cholang-iography showed congenital biliary atresia in 18 cases, cholestasis in 14 cases.There was no significant difference in the two groups by Chi Square Test.Conclusions Laparoscopie-assisted with methylene blue staining in biliary is a simple, economical, safe, obvious method in the diagnosis of obstructive jaundice in infants.By this method and combining the shape and puncturing of gallbladder, biliary atresia and cholestasis can be diagnosed.lt is a good method of diagnosing obstructive jaundice in infants in the primary hospital. Key words: Laparoscopy; Infants; Obstructive jaundice; Methylene blue staining
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