成人胆总管囊肿诊治

目的总结成人胆总管囊肿诊治方法和经验。方法回顾性分析既往19例成人先天性胆总管囊肿的诊治资料，使用BUS结合CT、MRCP和ERCP等作为患者术前确诊手段；针对不同分型患者，设计不同手术方案，Ⅰ型患者行胆总管囊肿完整切除、Koux—en-y肝管空肠吻合术，Ⅱ型患者行胆总管切开、憩室切除，T管引流，Ⅲ型患者行内镜下十二指肠乳头切开，Ⅳa行肝叶部分切除、胆总管囊肿切除、Koux—en—y肝管空肠吻合术，合并癌变者因肿瘤浸润广泛行引流术。结果根据患者情况设计不同手术方式，患者术后恢复顺利，随访结果满意。结论BUS结合CT、MRCP和ERCP等对胆总管囊肿确诊意义大；手术方式主要采用囊肿切除术及肝管肠道吻合术，具体示患者不同情况设计。

Diagnosis and treatment for adult congenital choledochol cyst

[Objective] To summarize the methods and experience for treating adult congenital choledochol cyst (ACCC). [Methods] The clinical data of 19 patients were analyzed retrospective1y.We used B-ultrasound combined CT, MRCP, ERCP etc. to make a definite diagnosis and designed different operations for each kind of patients. Excision of the bile duct cyst and Roux-en-y hepatojejunostomy was the best choice for most patients. [Results] The patients with CCC underwent different types of operation all had few postope...