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胆总管囊肿诊治新进展

Recent Progress in Diagnosis and Treatment of Choledochal Cysts

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【作者】 王凤飚王新超

【Author】 WANG Feng-biao,WANG Xinchao. (Department of General Surgery,Tianjin Fourth Center Hospital,Tianjin 300140,China)

【机构】 天津市第四中心医院普外科

【摘要】 胆总管囊肿是一种少见的肝内外胆管部分良性扩张性疾病,在胆管良性疾病中的发病率为1%,胆管癌是其最严重的并发症,其他并发症还包括肝内外胆管结石、胆管炎、胰腺炎、门静脉高压症、肝纤维化继发肝硬化及囊肿自发破裂等,早期诊治非常重要。外科手术是治疗胆总管囊肿的唯一手段,囊肿切除Roux-en-Y胆肠吻合术是最常用的方式。

【Abstract】 Choledochal cysts(CC) is a rare benign disease of extrahepatic duct,intrahepatic duct,or both.They account for approximately 1% of all benign biliary diseases.Carcinoma of bile duct is the most serious and dangerous complication.The other complications associated with CC involve cholelithiasis and hepatolithiasis,cholangitis,acute and chronic pancreatitis,portal hypertension,liver fibrosis and secondary liver cirrhosis and spontaneous cyst perforation The early diagnosis and proper treatment are very important.Surgery is the only treatment of CC and Roux-en-Y hepaticojejunostomy is the most common method.

  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2013年16期
  • 【分类号】R657.4
  • 【被引频次】7
  • 【下载频次】308
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