| Objective:To analysis the characteristics of cholangitis in patients with biliary atresia after Kasai operation,to seek measures to improve the survival rate.Methods:A retrospective review was taken for a group of 102 patients who had undergone the Kasai operation between Jan.2009 and Jun.2016 at Children’s hospital of Shanxi Province.Results:The 2-year survival rates of cholangitis attack or not were 41.1% and 65.5%(p=0.030),The 2-year survival rates of the early episode of cholangitis group(EC)and the late episode of cholangitis(LC)group were 22.2% and 52.2%(p=0.013),The Jaundice subsided significantly rates in EC and LC were 33.3% and 67.4%(p=0.007),The liver function recovery rates in EC and LC were 44.4% and 73.9%(p=0.023).The 2-year survival rates of the continual episode of cholangitis group(CC)and the occasionally episode of cholangitis(OC)group were 19.4% and 57.1%(p=0.002),The Jaundice subsided significantly rates in CC and OC were 38.7% and 66.7%(p=0.001),The liver function recovery rates in CC and OC were 45.2% and 76.2%(p=0.008).Conclusion:The analysis showed that the vary stage and frequency of cholangitis were statisticalsignificance in the outcomes after Kasai operation.It is important that we should enhance the cognition and strengthen the prevention and the treatment of cholangitis after Kasai operation,eventually,to improve the biliary atresia survival rate. |
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