摘要
目的 探讨成人先天性胆总管囊肿的诊断和治疗。方法 对收治的 5 3例成人先天性胆总管囊肿病人进行分析。B超诊断正确率 90 .5 7% ( 48/ 5 3)。 49例行囊肿切除和肝总管空肠Roux Y吻合术 ,2例因癌变分别行肝门胆管癌根治术和胰十二指肠切除术。手术死亡率 1.89%。结果 随访 43例 ,随访率 81.13% ,平均随访 32个月 ,约 90 %的病人能从事一般体力劳动 ,未观察到恶变者。结论 B超应作为先天性胆总管囊肿的首选检查 ,囊肿切除和肝总管空肠Roux Y吻合术应作为首选术式 ,早期诊断 ,早期治疗 ,控制囊肿发展 。
Objective To analyze the diagnosis and treatment of adult congenital bile cyst.Methods Fifty three cases of adult congenital bile cyst were diagnosed by B-ultrasound,and the accuracy was 90.57%(48/53).Of all the 53 cases,excision of cyst and hepaticojejunostomy was done in 49.The mortality rate was 1.89%.Results Forty three cases were followed up for an average period of 32 months and no malignant changes was found.Conclusions B-ultrasound should be the first choice of examination while excision of cyst and hepaticojejunostomy be the first choice operation.Early diagnosis and treatment,control of cyst development and the decrease of complications played key roles in the prognosis of congenital bile duct cyst.
出处
《临床外科杂志》
2003年第4期228-229,共2页
Journal of Clinical Surgery
关键词
先天性胆总管囊肿
成人
诊断
治疗
congenital bile duct cyst
adult
diagnosis
treatment
