CAJ | 학술논문

成人胆总管囊肿自发性穿孔是临床上一种罕见疾病,常起病急,发展迅速.由于临床表现缺乏特异性,术前诊断难以明确,治疗方法尚存在争议,常使临床医师处于被动.尽管如此,临床医师在结合相关病史、各类实验室、影像学检查以及特殊操作后,也可根据疾病可能存在的证据,从而依照患者的不同情况施行个体化治疗.笔者参考国内外有关文献资料,分析其病因及临床表现,对胆总管囊肿自发性穿孔诊断与治疗的研究进展进行综述.
성인담총관낭종자발성천공시림상상일충한견질병,상기병급,발전신속.유우림상표현결핍특이성,술전진단난이명학,치료방법상존재쟁의,상사림상의사처우피동.진관여차,림상의사재결합상관병사、각류실험실、영상학검사이급특수조작후,야가근거질병가능존재적증거,종이의조환자적불동정황시행개체화치료.필자삼고국내외유관문헌자료,분석기병인급림상표현,대담총관낭종자발성천공진단여치료적연구진전진행종술.
Spontaneous choledochocyst perforation in adults is a rare disease with more acute onset and rapid progression of the disease.Most cases of spontaneous choledochocyst perforation are misdiagnosed due to the lack of typical symptoms,meanwhile,treatment remains controversial,and accordingly it is hard for doctors to make a decision on treatment.Nevertheless,the individualized treatment can be performed on patients according to the clinical symptoms and conditions of patients combined with the medical history,laboratory and imaging examinations or other special procedures.In this article,the diagnosis and treatment of spontaneous choledohocyst perforation were summarized on the basis of global literatures and analyses of the pathogeny and clinical presentation of this disease.