摘要
目的探讨成人先天性胆管扩张症的诊断与治疗。方法回顾分析我院1994年至2012年28例成人先天性胆管扩张症的临床资料。结果 28例CBD病例中26例存在不同程度的上腹痛;28例CBD病例均行B超检查,确诊率为89%,联合CT及MRCP检查,28例CBD病例确诊率100%;28例CBD病例中24例行囊肿切除、肝管空肠Roux-en-Y吻合术,手术效果良好,围手术期无死亡,无胰漏、胆漏等并发症。结论上腹痛是CBD最常见的临床表现,B超是CBD首选的检查方式,CBD的治疗关键是手术时机与手术方式的选择,囊肿切除、肝管空肠Roux-en-Y吻合术为CBD的首选术式。
Objective To discuss the diagnosis and treatment of congenital biliary dilatation in adults.Methods Analyzed the clinical data of 28 adult patients with congenital biliary dilatation（CBD） in our hospital.Results 26 out of all the 28 CBD patients had epigastric pain;all patients underwent B-ultrasonic examination,the accuracy was 89%,all the 28 patients were diagnosed definitely before operative through Bultrasonic examination,CT and MRCP;24 out of all the 28 CBD patients underwent total cyst excision with Rouxy hepaticojejunostomy,there was no death in perioperative period.Conclusions Abdominal pain is the most common manifestation of CBD;B-ultrosonic examination is the first Imaging methods of CBD;Methods and time of operation is the key for successful treatment,total cyst excision with Roux-y hepaticojejunostomy,has been regarded as the first operative choice.
出处
《齐齐哈尔医学院学报》
2013年第17期2569-2570,共2页
Journal of Qiqihar Medical University
关键词
先天性胆管扩张症
诊断
外科治疗
成人
Congenital biliary dilatation
Diagnosis
Surgical treatment
Adult
