肝外胆管管状腺瘤的诊断和治疗

Diagnosis and treatment of tubular adenoma in the extrahepatic bile duct

  • 摘要:
    目的 探讨肝外胆管管状腺瘤的临床特征、诊断及外科治疗。方法 回顾性分析2010年7月至2012年2月内蒙古医科大学附属医院收治的3例肝外胆管管状腺瘤患者的临床资料。结果 3例患者病灶均位于胆总管中下段,行胆总管切除+Roux-en-Y胆肠吻合术,均恢复良好。病理检查结果为胆总管管状腺瘤,其中2例患者有中度非典型性增生。结论 单发局限性的肝外胆管管状腺瘤行部分胆总管合并瘤体切除联合胆管改道的外科治疗可获得较好的预后。病理学检查可以明确诊断。

     

    Abstract:
    Objective To study the clinical manifestations, diagnosis and surgical treatment of tubular adenoma in the extrahepatic bile duct. Methods The clinical data of 3 patients with tubular adenoma in the extrahepatic bile duct who were admitted to the Affiliated Hospital of Inner Mongolia Medical University from July 2010 to February 2012 were retrospectively analyzed. Results The tumors were located at the middle and lower part of the common bile duct. All the 3 patients received resection of the common bile duct and Roux-en-Y cholangioenterostomy, and recovered well. The results of pathological examination showed that all the patients were with tubular adenoma, and 2 patients had moderate atypical hyperplasia. Conclusions Tubular adenoma in the extrahepatic bile duct could be diagnosed by pathological examination. Radical resection and rerouting of the bile duct can get a better outcome.

     

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