胆管黏液腺瘤11例诊疗经验  

Diagnosis and treatment of mucinous tumor of the bile duct： our experience on 11 patients

作　　者：袁方水[1] 任广利[1] 杨士明[1] 冯宪光[1] 周敬强[1] 

机构地区：[1]山东省交通医院肝胆微创外科,济南250031

出　　处：《中华肝胆外科杂志》2017年第6期380-382,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨胆管黏液腺瘤诊断、治疗方式与效果。方法回顾性分析11例胆管黏液腺瘤患者的资料。结果11例患者中，3例ERCP明确诊断者，其中1例行放置鼻胆管引流治疗，因术后引流不通畅出现并发症而死亡；另2例行手术探查，术中胆总管放置T管引流治疗。其余8例均为肝内外胆管结石患者，且均为术中胆道镜取石发现管壁异常，取活检送病理检查明确诊断。结论胆管黏液腺瘤无特异性诊断手段，术前误诊率很高，及时手术，行胆总管切开、T管引流，术后长期带T管是处理胆管黏液腺瘤的较好方法。Objective To study the diagnosis, treatment and therapeutic results of 11 patients who suffered from mucinous tumor of the bile duct. Methods Eleven patients who were diagnosed to suffer from mucinous tumor of the bile duct were retrospectively studied. Three patients who presented with obstructive jaundice were diagnosed on ERCP, and 8 patients who had extra-and intrahepatic cholangiolithiasis were diagnosed by biopsy during choledochoscopy. Results One of the 3 patients who underwent ERCP died from obstructive jaundice after failed drainage of bile using endoscopic nasobiliary drainage （ENBD）. The remaining two patients underwent laparoscopic common bile duct exploration and T tube drainage. The eight patients who had extra-and intrahepatic cholangiolithiasis were diagnosed by biopsy during choledochoscopy. Conclusions The clinical presentation of mucinous tumor of bile duct is non-specific and the preoperative misdiagnosis rate is high. Common bile duct exploration, T tube drainage and long-term T tube drainage is a good way to treat mucinous tumor of the bile duct.

关 键 词：胆管黏液腺瘤 胆道镜 癌前病变 

分 类 号：R735.8[医药卫生—肿瘤]