| 原发性先天性胆管囊肿癌变7例的诊断与治疗 |
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| 引用本文： | 史留斌,彭淑牖,彭承宏,吴育连,刘颖斌,杨德同,嵇振岭,高乃荣,陈怀仁.原发性先天性胆管囊肿癌变7例的诊断与治疗[J].东南大学学报(医学版),2001,20(4):255-257. |
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| 作者姓名： | 史留斌 彭淑牖 彭承宏 吴育连 刘颖斌 杨德同 嵇振岭 高乃荣 陈怀仁 |
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| 作者单位： | 1. 浙江大学医学院附属第二医院,外科,
2. 东南大学附属中大医院,普外科, |
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| 摘 要： | 目的：总结20年来7例在发性胆管囊肿癌变的诊断及治疗经验。方法：对1980－2000年间收治的7例原发性胆管囊肿癌变病人的临床资料进行回顾性分析。结果与结论 癌变6例位于囊壁，1例侵及胰腺，术后病理结果为腺癌。对先天性胆管囊肿病人推荐行新的预防癌变的手术方式，术中冰冻切片检查有助于确诊，对侵及胰腺的病例考试行囊肿切除及胰十二指肠切除术。
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| 关 键 词： | 胆管囊肿 癌变 胆道外科手术 诊断 治疗 |
| 文章编号： | 1001-7275(2001)04-0255-03 |
| 修稿时间： | 2001年3月28日 |
The diagnosis and surgical treatment of canceration in 7 patients with primary congenital cyst of common bile duct |
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| SHI Liu bin ,PENG Shu you ,PENG Cheng hong ,WU Yu lian ,LIU Ying bin ,YANG De tong ,JI Zhen ling ,GAO Nai rong ,CHEN Huai ren.The diagnosis and surgical treatment of canceration in 7 patients with primary congenital cyst of common bile duct[J].Journal of Southeast Univ: Medical Sci Ed,2001,20(4):255-257. |
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| Authors: | SHI Liu bin PENG Shu you PENG Cheng hong WU Yu lian LIU Ying bin YANG De tong JI Zhen ling GAO Nai rong CHEN Huai ren |
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| Institution: | SHI Liu bin 1,PENG Shu you 1,PENG Cheng hong 1,WU Yu lian 1,LIU Ying bin 1,YANG De tong 2,JI Zhen ling 2,GAO Nai rong 2,CHEN Huai ren 2 |
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| Abstract: | Objective To summarize the experience of diagnosis and treatment of malignant change in 7 patients with primary congenital cyst of common bile duct in the past 20 years.Method The clinical data of 7 patients admitted from 1980 to 2000 was analyzed retrospectively.Results and conclusions The site of 6 cases with carcinoma was on the cyst wall,which 1 case spreaded to the pancreas.The pathologic feature of this disease was malignancy,most of which was adenocarcinoma.A new procedure which can prevent from malignance of congenital cyst of common bile duct is recommended.Intraoperative frozen section examination is helpful to comfirm diagnosis.Cystectomy with pancreatoduodenectomy would be done in the cases spreading to the pancreatc head. |
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| Keywords: | cysts of bile duct canceration biliary tract surgery diagnosis |
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