CAJ | 학술논문

目的探讨肝外胆管管状腺瘤的临床特征、诊断及外科治疗.方法回顾性分析2010年7月至2012年2月内蒙古医科大学附属医院收治的3例肝外胆管管状腺瘤患者的临床资料.结果 3例患者病灶均位于胆总管中下段,行胆总管切除+ Roux-en-Y胆肠吻合术,均恢复良好.病理检查结果为胆总管管状腺瘤,其中2例患者有中度非典型性增生.结论单发局限性的肝外胆管管状腺瘤行部分胆总管合并瘤体切除联合胆管改道的外科治疗可获得较好的预后.病理学检查可以明确诊断.
목적 탐토간외담관관상선류적림상특정、진단급외과치료.방법 회고성분석2010년7월지2012년2월내몽고의과대학부속의원수치적3례간외담관관상선류환자적림상자료.결과 3례환자병조균위우담총관중하단,행담총관절제+ Roux-en-Y담장문합술,균회복량호.병리검사결과위담총관관상선류,기중2례환자유중도비전형성증생.결론 단발국한성적간외담관관상선류행부분담총관합병류체절제연합담관개도적외과치료가획득교호적예후.병이학검사가이명학진단.
Objective To study the clinical manifestations,diagnosis and surgical treatment of tubular adenoma in the extrahepatic bile duct.Methods The clinical data of 3 patients with tubular adenoma in the extrahepatic bile duct who were admitted to the Affiliated Hospital of Inner Mongolia Medical University from July 2010 to February 2012 were retrospectively analyzed.Results The tumors were located at the middle and lower part of the common bile duct.All the 3 patients received resection of the common bile duct and Roux-en-Y cholangioenterostomy,and recovered well.The results of pathological examination showed that all the patients were with tubular adenoma,and 2 patients had moderate atypical hyperplasia.Conclusions Tubular adenoma in the extrahepatic bile duct could be diagnosed by pathological examination.Radical resection and rerouting of the bile duct can get a better outcome.