成人先天性胆总管囊肿的诊断与治疗  

The diagnosis and treatment of adult congenital choledochal cyct

作　　者：丁志龙[1] 李文美[2] 宋军[2] 李向农[2] 刘斌[2] 

机构地区：[1]徐州医学院研究生学院2008级研究生,江苏徐州221002 [2]徐州医学院附属医院肝胆外科,江苏徐州221002

出　　处：《徐州医学院学报》2011年第5期338-339,共2页Acta Academiae Medicinae Xuzhou

摘　　要：目的 探讨成年人先天性胆总管囊肿（CCC）的特点及诊断和治疗要点.方法 对我院普外科1996年1月-2011年1月收治的14例成年人先天性胆总管囊肿患者的临床资料进行回顾性分析.患者术前B超确诊率为92.9%,CT确诊率为75.0%,内镜下逆行胰胆管造影术（ERCP）、磁共振胰胆管成像（MRCP）的确诊率为100%.14例患者中有13例行手术治疗,其中行胆总管囊肿完整或部分切除＋肝总管空肠Roux-en-Y吻合术12例.结果 随访10例（71.4%）,平均随访36个月,未发现有恶变病例.结论 B超为先天性胆总管囊肿首选检查,CT、ERCP、MRCP各有其诊断价值.手术为成年人先天性胆总管囊肿的治疗方式,早期手术为关键,胆总管囊肿完整或部分切除＋肝总管空肠Roux-en-Y吻合术为其首选手术方法.Objective To explore the characteristics, diagnosis and therapies of adult congenital choledochal cyst （CCC）. Methods The clinical data of 14 patients with adult CCC from January 1996 to January 2011 were collected and analyzed retr0spectively. The accuracy of preoperative B - ultrasound diagnosis was 92.9% ; the diagnostic accuracy of CT was 75.0% ; the diagnostic accuracy of ERCP and MRCP was 100%. Of the 14 patients with CCC, 13 patients underwent surgery, of whom 12 patients underwent resection of the choledochal cyst or Roux - en - Y. Results 10 cases were followed up for an average of 36 months and no malignant changes were found. Conclusion B - ultrasound should be the optimal option of examination, while CT, ERCP and MRCP have their respective diagnostic values. Surgery should be the means of treatment of adult CCC. Early radical operation is the key to the treatment. Complete or partial removal of the choledochal cyst plus Ronx - en - Y is the top priority in the selection of surgery.

关 键 词：先天性胆总管囊肿 成人 诊断 治疗 

分 类 号：R816.5[医药卫生—放射医学]