先天性胆总管囊肿18例误诊原因分析  

Clinical Analysis of Misdiagnostic Causes of 18 Cases of Congenital Choledochal cyst

作　　者：王建峰[1] 石正峰[1] 崔彦北[1] 陈博渊[1] 

机构地区：[1]山西省儿童医院,030013

出　　处：《中国误诊学杂志》2001年第10期1467-1468,共2页Chinese Journal of Misdiagnostics

摘　　要：目的　为提高小儿先天性胆总管囊肿诊治的水平 ,减少误诊误治。方法　收集 1 0 a间 71例胆总管囊肿中1 8例误诊误治患儿资料 ,分析误诊误治的原因。结果　术前误诊的主要原因是对于出现黄疸、腹痛的患儿未能想到本病 ,强调避免误诊的方法是常规行上腹部 B超初检 ,对特别疑难者仍不能确诊的可借助于其他辅助检查 ,必要时术中胆道造影 ,直到确诊。结论　对黄疸、腹痛的患儿避免误诊的关键是要警惕本病。Objective To improve the level of diagnosis and management ofcongenital choledochal cyst in children, and decrease the rate of misdiagnose and mismanagement.Methods The clinical data of 18 cases of misdiagnosis and mismanagement were collected from 71 cases of congenital choledochal cyst in children during 10 years and the causes were analyzed.Results The main cause of misdiagnosis before operation was ignoring this disease when the patients with jaundice and abdominal pain presented. It was stressed that the routine upper abdominal type B ultrasonic examination was the primary means to avoid misdiagnosis. For the cases difficult to be diagnosed, other accessory examinations should be done. If necessary, cholangiography during operation was suggested.Conclusion Taking choledochal cyst into account is the key to avoid misdiagnosis when jaundice and abdominal pain appears in children.

关 键 词：胆总管囊肿 诊断 超声检查 误诊 

分 类 号：R735.8[医药卫生—肿瘤]