胆管扩张症的研究进展

Advances in Biliary Dilatation

胆管扩张症(biliary dilatation, BD)是临床较少见的一种原发的胆道畸形病变。BD虽然为良性疾病,但如未能及时治疗可引起多种肝胆胰疾病,包括胰腺炎、胆道结石、自发性囊肿破裂等。此外,值得关注的是BD患者的胆道癌变率会随着年龄的增长而升高,未行手术治疗的BD有高达30%的癌变率。因此一旦诊断为BD应及时行手术治疗。自1723年Voter首次报道此病以来,随着腹部超声和CT、MRCP等影像学检查的普及,BD的诊断率有逐年明显升高趋势。

Biliary dilatation (BD) is a rare type of primary bile duct deformity. Although BD is a benign disease, if not treated in time, it can cause a variety of hepatobiliary and pancreatic diseases, including pan-creatitis, biliary stones, spontaneous cyst rupture and so on. In addition, it is worth noting that the biliary cancer rate of BD patients will increase with age, and the cancer rate of BD patients without surgical treatment is as high as 30%. Therefore, once BD is diagnosed, timely surgical treatment should be performed. Since this disease was first reported by Voter in 1723, with the popularization of abdominal ultrasound, CT, MRCP and other imaging examinations, the diagnostic rate of BD has increased significantly year by year.