Abstract

According to the pathological changes of the liver,37 children with congenital biliary dilatation (CBD) were divided into three groups namely:cirrhosis group (15),precirrhosis group (20) and normal liver cells group (2).The average age of the cirrhosis group was 17.37 months and that in the precirrhosis 70.25 months (P<0.01).All cases of the cirrhosis group and 3 of the precirrhosis group had persistant jaundice.The average diameter of the cyst was 7.8 cm in cirrhosis group but 4.7 cm in precirrhosis group.Eight of the 9 cases with cirrhosis were followed-up with normal liver function.Conclusions:(1) The earlier the symptoms,the worse the cirrhosis;(2) Obstruction of the bile ducts is the main cause of liver cirrhosis;(3) The larger the cyst,the worse the liver features and (4) Active treatment should be given for patients with severe cirrhosis,because it is still reversible. Key words: Common bile duct disease; Liver cirrhosis; biliary; Cholestasis

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