胆总管腺肌症的诊断与治疗

Diagnosis and treatment of common bile duct adenomyomatosis

胆总管腺肌症是一种胆总管良性疾病,其病因及发病机制尚不明确。术前诊断率不高,多于术后病理中确诊。如果术前影像学资料能证实本病,可制定最佳治疗方案,以避免胰十二指肠切除术这种创伤巨大的手术做为唯一治疗手段。本文对该病的病因、发病机制、诊断和治疗做了综述。

Common bile duct adenomyomatosis is a benign disease,and its etiologies and pathogenesis are still unclear.Common bile duct adenomyomatosis,mostly found in postoperative pathology,has been kept at a low level at preoperative diagnosis.The optimum treatment of common bile duct adenomyomatosis should be determined according the imaging examination,pancreaticoduodenectomy as the only treatment should be avoided,a traumatic surgical procedure.This article reviews the etiology,pathogenesis,diagnosis and treatment of the disease.