先天性胆管囊肿(附28例报告)

A Report of 28 Cases With Congenital Cheledochal Cyst

目的：探讨先天性胆管囊肿的病因、分型、诊断和治疗方法。方法：回顾１９８６至１９９６年１０年间收治的先天性胆管囊肿２８例进行分析。结果：２８例中Ⅰ型１９例（６７８５％），ＩＶＡ型８例（２８６％），ＩＶＢ型１例（３６％）。Ｂ超检查２６例，２４例手术证实；ＣＴ９例７例手术证实。手术治疗为最佳手段，以囊肿切除为首选。本组２５例手术治疗，囊肿切除１３例（占５２％）。结论：Ｂ超为主要诊断手段。先天性胆管囊肿癌变率随病程延长而逐渐上升。

Objective:To study the cause type,diagnosis and treatment of congenital choledochal cyst.Methods:retrospectively analysing 28 cases with congenital choledochal cyst,collected from 1986 to 1996.Results:Among 28 cases,19cases(67.85%) belonged to type I,8 cases (28.6%) to type IVA and 1 case(3.6%) to type IVB.Among 26 cases examined by B-ultrasound,24 cases were confirmed during operation; 9 cases examined by CT-scan,7 cases were confirmed during operation.Operation was the best treatment and excision of choledochal cyst was first considered.Among 25 cases operated,excision of choledochsl cyst was performed. Conclusion:B-ultrasound was the majer method of diagnosis.The canceration rate of congenital choledochal cyst is gradually increased along with advancing of the disease.