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[先天性胆道扩张症]

[Congenital dilations of the biliary tract].

作者信息

Domínguez-Comesaña Elías

机构信息

Servicio de Cirugía, Complejo Hospitalario de Pontevedra, Pontevedra, España.

出版信息

Cir Esp. 2010 Nov;88(5):285-91. doi: 10.1016/j.ciresp.2010.04.003. Epub 2010 Jun 15.

DOI:10.1016/j.ciresp.2010.04.003
PMID:20554272
Abstract

Congenital dilations of the biliary tract are a group of rare conditions, commonly associated with the presence of an abnormality at the junction of the common bile duct and pancreatic duct, which may lead to the reflux of pancreatic juice within the biliary tree. The main clinical symptoms are, abdominal pain, cholangitis and acute pancreatitis, and the most serious complication is malignant degeneration. The treatment of choice is cholecystectomy and complete excision of the bile duct from its bifurcation to its intra-pancreatic segment.

摘要

先天性胆道扩张是一组罕见疾病,通常与胆总管和胰管交界处存在异常有关,这可能导致胰液在胆道系统内反流。主要临床症状为腹痛、胆管炎和急性胰腺炎,最严重的并发症是恶变。治疗的首选方法是胆囊切除术,并将胆管从其分叉处至胰腺内段完整切除。

相似文献

1
[Congenital dilations of the biliary tract].[先天性胆道扩张症]
Cir Esp. 2010 Nov;88(5):285-91. doi: 10.1016/j.ciresp.2010.04.003. Epub 2010 Jun 15.
2
[Pancreato-biliary maljunctions and congenital cystic dilatation of the bile ducts in adults].[成人胰胆管合流异常与先天性胆管囊肿]
J Chir (Paris). 2001 Aug;138(4):196-204.
3
[Congenital dilatation of the common bile duct (congenital choledochal cyst)].[先天性胆总管扩张症(先天性胆管囊肿)]
Srp Arh Celok Lek. 2001 May-Jun;129 Suppl 1:47-50.
4
[Congenital dilatation of the common bile duct in which choledochal duct flows into Wirsung (author's transl)].
Chir Pediatr. 1981;22(1):55-7.
5
Management of congenital bile duct cysts.先天性胆管囊肿的处理。
Dig Surg. 2010;27(1):12-8. doi: 10.1159/000268109. Epub 2010 Apr 1.
6
Clinical and statistical studies on congenital dilatation of the biliary tract in relation to anomalous arrangement of the pancreaticobiliary ducts.关于先天性胆道扩张症与胰胆管异常排列关系的临床及统计学研究
Tokushima J Exp Med. 1977 Dec;24(3-4):165-73.
7
Recent advances in pancreaticobiliary maljunction.胰胆管合流异常的最新进展
J Hepatobiliary Pancreat Surg. 2002;9(1):45-54. doi: 10.1007/s005340200004.
8
[Acquired abnormalities of the biliary tract. Preoperative diagnosis and surgical risk in the laparoscopic era].[获得性胆道异常。腹腔镜时代的术前诊断与手术风险]
G Chir. 2001 Jan-Feb;22(1-2):18-21.
9
Whether or not prophylactic excision of the extrahepatic bile duct is appropriate for patients with pancreaticobiliary maljunction without bile duct dilatation.对于无胆管扩张的胰胆管合流异常患者,肝外胆管预防性切除是否合适。
Hepatogastroenterology. 2005 Nov-Dec;52(66):1649-53.
10
Biliary tract injuries during laparoscopic cholecystectomy: three case reports and literature review.腹腔镜胆囊切除术中的胆道损伤:三例报告及文献综述
G Chir. 2010 Jan-Feb;31(1-2):16-9.

引用本文的文献

1
Giant choledochal cyst presenting during third trimester of pregnancy.妊娠晚期出现的巨大胆总管囊肿。
BMJ Case Rep. 2018 Jun 13;2018:bcr-2018-224891. doi: 10.1136/bcr-2018-224891.