摘要
目的:探讨成人先天性胆总管囊肿(CCC)的诊断和治疗。方法:回顾性分析2006年1月—2012年12月期间收治的25例成人先天性胆总管囊肿的临床资料。结果:本组25例术前均由影像学检查明确诊断,22例行囊肿切除+肝管空肠Roux-en-Y吻合术,3例加行部分肝叶切除,恢复基本顺利。术后随访仅2例出现反流性胆管炎。结论:先天性胆总管囊肿的诊断主要依靠影像学支持,治疗首选囊肿切除+肝管空肠Roux-en-Y吻合术。尽量完整切除囊肿,避免癌变。
Objective：To evaluate the diagnosis and therapy of congenital choledochal cyst（CCC）.Methods：25cases with CCC admitted from January 2006to December 2012were analyzed retrospectively.Results：All the cases were diagnosed clarifily by imaging examination before operations.22cases underwent cystectomy with Roux-en-Y hepaticojejunostomy,3cases plus hepatolobectomy.Reflux cholangitis was observed in only 2cases.Conclusion：Imaging examination is the main method for diagnosis of CCC.Cystectomy with Roux-en-Y hepaticojejunostomy is recommended as the first choice for the therapy of CCC.The cyst should be fully excised in case of carcinogenesis.
出处
《临床医药实践》
2013年第6期419-421,共3页
Proceeding of Clinical Medicine
