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先天性胆管囊肿(附28例报告)
引用本文:俞永涛,马赞林.先天性胆管囊肿(附28例报告)[J].宁夏医科大学学报,1999,21(3):177-179.
作者姓名:俞永涛  马赞林
作者单位:宁夏医学院附属医院普外科
摘    要:目的:探讨先天性胆管囊肿的病因、分型、诊断和治疗方法。方法:回顾1986至1996年10年间收治的先天性胆管囊肿28例进行分析。结果:28例中Ⅰ型19例(6785%),IVA型8例(286%),IVB型1例(36%)。B超检查26例,24例手术证实;CT9例7例手术证实。手术治疗为最佳手段,以囊肿切除为首选。本组25例手术治疗,囊肿切除13例(占52%)。结论:B超为主要诊断手段。先天性胆管囊肿癌变率随病程延长而逐渐上升,故切除囊肿为首选治疗手段

关 键 词:先天性胆管囊肿  诊断  囊肿切除术

A Report of 28 Cases With Congenital Cheledochal Cyst
Yu Yongtao,Ma Zanlin,Lin Songgao,et al.A Report of 28 Cases With Congenital Cheledochal Cyst[J].Journal of Ningxia Medical College,1999,21(3):177-179.
Authors:Yu Yongtao  Ma Zanlin  Lin Songgao  
Abstract:Objective:To study the cause type,diagnosis and treatment of congenital choledochal cyst.Methods:retrospectively analysing 28 cases with congenital choledochal cyst,collected from 1986 to 1996.Results:Among 28 cases,19cases(67.85%) belonged to type I,8 cases (28.6%) to type IVA and 1 case(3.6%) to type IVB.Among 26 cases examined by B-ultrasound,24 cases were confirmed during operation; 9 cases examined by CT-scan,7 cases were confirmed during operation.Operation was the best treatment and excision of choledochal cyst was first considered.Among 25 cases operated,excision of choledochsl cyst was performed. Conclusion:B-ultrasound was the majer method of diagnosis.The canceration rate of congenital choledochal cyst is gradually increased along with advancing of the disease.
Keywords:congerictal choledochal cyst  diagnosis  excision of choledochal cyst
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