Buffet C, Hagège H
Service des Maladies du Foie et de l'Appareil digestif, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Presse Med. 1993 Nov 20;22(36):1823-6.
Solitary biliary cysts and polycystic liver disease are among the most frequent cystic lesions of the liver. Solitary biliary cysts have a prevalence of 1 to 2 percent; they are almost always asymptomatic and do not require treatment. Ultrasonography shows a regular, round or oval, entirely liquid and trans-sonic image sufficient to make the diagnosis. Complications are exceptional. Polycystic liver disease is associated with polycystic kidney disease in 50 percent of the cases, and the prognosis depends on the degree of renal failure. In polycystic disease of the liver and kidney the hepatic cysts develop before the renal cysts. Complications (e.g. cyst infection) are rare and principally observed in patients with terminal renal failure. In patients with complicated polycystic liver disease various treatments, such as needle aspiration, alcohol sclerotherapy or surgery, must be considered.
孤立性胆管囊肿和多囊肝病是肝脏最常见的囊性病变。孤立性胆管囊肿的患病率为1%至2%；它们几乎总是无症状的，不需要治疗。超声检查显示规则的圆形或椭圆形、完全液性且透声的图像，足以做出诊断。并发症极为罕见。50%的多囊肝病病例与多囊肾病相关，其预后取决于肾衰竭的程度。在肝肾多囊病中，肝囊肿比肾囊肿先出现。并发症（如囊肿感染）很少见，主要见于终末期肾衰竭患者。对于患有复杂多囊肝病的患者，必须考虑各种治疗方法，如穿刺抽吸、酒精硬化治疗或手术。
