中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2015年
3期
213-216
,共4页
钟世彪%钟武%张磊昌%陈利生
鐘世彪%鐘武%張磊昌%陳利生
종세표%종무%장뢰창%진리생
胆总管囊肿%胆总管结石%胆管扩张症,先天性
膽總管囊腫%膽總管結石%膽管擴張癥,先天性
담총관낭종%담총관결석%담관확장증,선천성
Choledochocele cyst%Common duct stones%Bile duct dilatation,congenital
Ⅰ型先天性胆管扩张症也称先天性胆总管囊囊肿(CCC),是一种先天性胆道缺陷性疾病.内镜超声(EUS)、磁共振胆管胰造影(MRCP)和内镜逆行胰胆管造影(ERCP)等影像学检查对本病诊断具有极其重要的作用.手术是该病主要治疗手段.而“胆囊切除+胆总管囊肿完整切除+肝总管空肠Roux-Y吻合术”是首选术式.本文综述了该病原因、分类、诊断及治疗进展.
Ⅰ型先天性膽管擴張癥也稱先天性膽總管囊囊腫(CCC),是一種先天性膽道缺陷性疾病.內鏡超聲(EUS)、磁共振膽管胰造影(MRCP)和內鏡逆行胰膽管造影(ERCP)等影像學檢查對本病診斷具有極其重要的作用.手術是該病主要治療手段.而“膽囊切除+膽總管囊腫完整切除+肝總管空腸Roux-Y吻閤術”是首選術式.本文綜述瞭該病原因、分類、診斷及治療進展.
Ⅰ형선천성담관확장증야칭선천성담총관낭낭종(CCC),시일충선천성담도결함성질병.내경초성(EUS)、자공진담관이조영(MRCP)화내경역행이담관조영(ERCP)등영상학검사대본병진단구유겁기중요적작용.수술시해병주요치료수단.이“담낭절제+담총관낭종완정절제+간총관공장Roux-Y문합술”시수선술식.본문종술료해병원인、분류、진단급치료진전.
Type Ⅰ congenital biliary dilatation is a congenital biliary duct defect disease.It is also called congenital choledochocele cyst (CCC).Endoscopic ultrasonography (EUS),magnetic resonance cholangiopacreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) are very important for the diagnosis.Operation is generally regaded as the best choose.It is recommended that "cholecystectomy + choledochal cyst excision + hepatic duct jejunum Roux-Y anastomosis" is the chief therapeutic method.This article reviews the pathogenesis,classifications,diagnosis and treatment of the disease.