先天性胆总管囊肿癌变及其治疗的研究进展  

Research progress on the canceration and treatment of congenital choledochal cyst

作　　者：吴越 许馨文 周群燕 吴屹豪 陈中霞 孙静 占强 WU Yue;XU Xinwen;ZHOU Qunyan;WU Yihao;CHEN Zhongxia;SUN Jing;ZHAN Qiang(Department of Gastroenterology,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu 214023,China)

机构地区：[1]南京医科大学附属无锡人民医院消化内科,江苏无锡214023

出　　处：《中国临床研究》2023年第9期1352-1356,共5页Chinese Journal of Clinical Research

基　　金：国家自然科学基金(81800490);无锡市医学青年人才基金(syxqnrc-sj)。

摘　　要：先天性胆总管囊肿是临床上常见的一种先天性胆道畸形,其恶性风险较大。多种因素包括患者年龄、囊肿类型、组织学和发生部位可影响疾病预后。无论是儿童还是成人患者,胆总管囊肿的主要治疗手段均为手术治疗。术前癌变的预测、手术时机及方式的选择、术后并发症及癌变的监测及处理对患者的预后有重要的影响。本文回顾相关文献对先天性胆总管囊肿癌变的预测、治疗及监测作一综述。Congenital choledochal cyst(CCC)is the most common congenital biliary malformation clinically with a higher risk of malignancy.Multiple factors,including the age of the patient,cyst type,histological finding and localization,have the impacts on the prognosis.Whether in children or in adults,surgery is the first choice for CCC.The preoperative prediction of canceration,the timing and method of surgery,postoperative complications and the monitoring and management of CCC canceration have the important influences on the prognosis of patients.This article reviews the relevant literature with regards to the prediction,treatment and monitoring of malignant transformation of CCC.

关 键 词：胆总管囊肿 胆管癌 胆囊癌 囊肿切除 超声内镜 

分 类 号：R735.8[医药卫生—肿瘤]