成人胆总管囊肿自发性穿孔诊断与治疗的研究进展

Updates in the diagnosis and treatment of spontaneous choledohocyst perforation in adults

  • 摘要: 成人胆总管囊肿自发性穿孔是临床上一种罕见疾病,常起病急,发展迅速。由于临床表现缺乏特异性,术前诊断难以明确,治疗方法尚存在争议,常使临床医师处于被动。尽管如此,临床医师在结合相关病史、各类实验室、影像学检查以及特殊操作后,也可根据疾病可能存在的证据,从而依照患者的不同情况施行个体化治疗。笔者参考国内外有关文献资料,分析其病因及临床表现,对胆总管囊肿自发性穿孔诊断与治疗的研究进展进行综述。

     

    Abstract: Spontaneous choledochocyst perforation in adults is a rare disease with more acute onset and rapid progression of the disease. Most cases of spontaneous choledochocyst perforation are misdiagnosed due to the lack of typical symptoms, meanwhile, treatment  remains controversial, and accordingly it is hard for doctors to make a decision on treatment. Nevertheless, the individualized treatment can be performed on patients according to the clinical symptoms and conditions of patients combined with the medical history, laboratory and imaging examinations or other special procedures. In this article, the diagnosis and treatment of spontaneous choledohocyst perforation were summarized on the basis of global literatures and analyses of the pathogeny and clinical presentation of this disease.

     

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