胰胆管合流异常合并胆道肿瘤的诊断与治疗  

Diagnosis and treatment of biliary tract neoplasm associated with anomalous pancreaticobiliary junction

作　　者：张立军[1] 李洁[1] 于则利[1] 陈佛来[1] 龚家镇[1] 

机构地区：[1]首都医科大学附属北京同仁医院肝胆外科,北京市100730

出　　处：《中华肝胆外科杂志》2003年第10期608-610,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　阐述胰胆管合流异常这种解剖学异常的临床分型与其所导致胆道肿瘤的关系 ,探讨如何选择适当的、合理的手术治疗。方法　回顾性分析我院自 1979年 12月至 2 0 0 1年 10月间所收治的 6 4例胰胆管合流异常症病人的临床表现、影像学特点和分型与其合并胆道肿瘤的关系。结果　本组病人中 :胰管型 (P C型 ) 2 8例 ,合并胆道肿瘤 11例 ;胆管型 (C P型 ) 32例 ,合并胆道肿瘤 8例 ;共同通道型 4例 ,胆道肿瘤 2例。结论　胰胆管合流异常同胆道肿瘤的发生关系密切。胰、胆管合流异常病人的临床分型不同 ,所导致的胆道肿瘤发生的可能性不同。Objective To establish an optimal management strategy for anomalous pancreaticobiliary junction (APBJ) typing and its relation to biliary tract neoplasm and explore the principle for its treatment. Methods The clinical data of 64 adult patients with APBJ receiving surgical treatment in our hospital from December 1979 to October 2001 were retrospectively analyzed. Results Among the 64 cases, 28 were typed P-C (group A), 32 C-P (group B) and 4 common-channel (group C). The number of cases with biliary tract neopalsms was 11, 8 and 2 in group A, B and C, respectively. Conclusions APBJ is closely related to occurrence of biliary tract neoplasms. Different types of APBJ result in different biliary tract neoplasms. The patients with APBJ should be treated as early as possible.

关 键 词：胰胆管合流异常 胆道肿瘤 诊断 治疗 肝功能 

分 类 号：R656[医药卫生—外科学] R735.8[医药卫生—临床医学]