摘要
目的 通过对 30例病例的诊治结果分析 ,探讨合并胰胆管合流异常 (AJPBDS)的先天性胆总管囊肿的现代外科治疗方法。方法 本组 30例病人分别经ERCP ,MRCP ,术中胆道造影或解剖确诊。施行外引流术 2例 ,内引流术 9例 ,囊肿切除、肝总管空肠Roux en Y吻合术 2 2例 ,手术治疗 2 8例共33例次 (其中 5例行二次手术 )。结果 外引流术控制急性感染效果确切 ,内引流术后并发症有胆道感染、胆道结石、吻合口狭窄、囊肿癌变等 ,需二次手术 ,囊肿切除、胰胆分流术效果良好。结论 先天性胆总管囊肿多数合并AJPBDS(88.2 % ) ,其现代外科治疗应以切除囊肿、胰胆分流及胆
Objective To discuss the modern surgical treatments for congenital choledochal cysts complicated with anomalous junction of pancreaticobiliary ductal system through analyzing data in 30 cases. Methods The 30 cases were diagnosed with ERCP, MRCP, cholangiography or dissection, respectively. Then 28 of them were treated with external drainage (n=2), internal drainage (n=9) and Roux-en-Y hepaticojejunostomy (n=22), respectively. Of the 28, 5 received operations twice. Results External drainage was helpful in emergency cases while internal drainage frequently resulted in recurrent cholangitis, choledocholith, anastomotic stenosis or cyst malignancy that needed to be operated on again. Choledochocyst resection and pancreaticobiliary shunt achieved satisfactory results. Conclusions Congenital choledochal cyst is usually complicated with anomalous junction of pancreaticobiliary ductal system (88.2%). As for its treatment, choledochocyst resection, pancreaticobiliary shunt and hepaticojejunostomy should be of the first choice.
出处
《中华肝胆外科杂志》
CAS
CSCD
2000年第6期403-406,共4页
Chinese Journal of Hepatobiliary Surgery
关键词
先天性胆总管囊肿
胰胆管合流异常
胰胆分流术
Congenital choledochal cyst
Anomalous junction of pancreaticobiliary ductal system
Pancreaticobiliary shunt
