胆总管十二指肠瘘的诊断及治疗的研究进展  

Research progress of diagnosis and management of choledochoduodenal fistula

作　　者：刘军 邓明华 龚建平[2] Liu Jun;Deng Minghua;Gong Jianping(Department of C, eneral Surgery, Chongqing Hongren First Hospital, Chongqing 408400, Chin)

机构地区：[1]重庆宏仁第一医院普通外科,408400 [2]重庆医科大学附属第二医院肝胆外科,400010

出　　处：《国际外科学杂志》2018年第5期345-348,共4页International Journal of Surgery

摘　　要：胆总管十二指肠瘘（CDF）是一种特殊的胆肠内瘘,其发病率低,临床表现不典型,诊断较为困难,极易误诊.然而,诊断工具和临床指南的缺乏又使得年轻医师在手术前难以正确地认识这种罕见的情况.内镜逆行胰胆管造影（ERCP）是诊断CDF最有效的方法,对于怀疑有CDF者,应尽量行ERCP明确诊断.手术治疗是CDF的主要治疗手段.本文主要对CDF的发病原因、临床表现、诊断和治疗等方面进行综述.The common bile duct duodenal fistula （CDF） is a special type of biliary fistula.It has a low incidence and clinical manifestations.It is difficult to diagnose and is often misdiagnosed.However,the lack of diagnostic tools and clinical guidelines make it difficult for young physicians to correctly recognize this rare condition before surgery.Endoscopic retrograde cholangiopancreatography （ERCP） is the most effective method for diagnosing CDF.For those who suspect CDF,ERCP should be used for definitive diagnosis.Surgical treatment is the main treatment for CDF.This article reviews the causes,clinical manifestations,diagnosis and treatment of CDF.

关 键 词：消化系统瘘 胆总管 十二指肠 诊断 治疗 

分 类 号：R657.4[医药卫生—外科学]