成人先天性胆总管囊肿9例的治疗体会

目的总结成人先天性胆总管囊肿诊治体会。方法对2002—2009年间收治的9例女性成人先天性胆管囊肿的临床资料进行回顾性分析。结果7例有胆道炎症表现，5例黄疸，1例有癌变。均为影像学诊断确诊。9例均手术切除囊肿加内引流，均顺利恢复出院。随访2年，无结石复发。癌变患者2年后由于广泛转移死亡。结论成人先天性胆总管囊肿以囊肿切除并内引流为主，效果满意。

Treatment for adult congenital choledochal cyst： report of 9 cases

Objective To summarize the experience in diagnosis and treatment of adult consenital choledochal cyst. Methods Clinical data of 9 patients with adult congenital choledochal cyst treated in our hospital from 2002 to 2009 were analyzed retrospectively. Results All patients were female, cholangitis was found in 7 patients, jaundice in 5 patients and carcinogenesis in one patient. Ultrasonic examination and CT scan examination were performed in all patients. All of the patients were diagnosed correctly before operation. The main procedure was excision of choledochal cyst combined with internal drainage. All patients were discharged from hospital after operation. The follow up of two years showed there was on patient with stone recurrance in all patients. One patient with carcinogenesis died of extensive matestasis of tumor two years after operation. Conclusion Cyst excision with Roux-en-Y hepaticojejunostomy is recommended as the treatment choice for adult congenital choledochal cyst.