胆管扩张症临床分型和外科治疗的实践与思考

Clinical classification and surgical treatment of biliary dilatation: application and consideration

  • 摘要: 建立合理的临床分型、确定规范的分型治疗策略是优化胆管扩张症(BD)外科治疗的基础。鉴于传统Todani分型存在的局限性与缺陷,笔者通过单中心大宗病例资料分析,并经临床实践应用、评价和修订,依据胆管树受累部位与范围,结合发病因素和外科治疗方式的差异,提出了对BD外科治疗决策和手术方法选择更具明确指导作用的董氏分型。

     

    Abstract: Optimization of surgical treatment of biliary dilatation (BD) depends on reasonable clinical classification and standardized classificationbased treatment strategy. Due to increasing limits and defects of classic Todani classification, a new classification named Dong-classification has been proposed, which was based on a large series analysis from a single referral center. Some important parameters including anatomical location and range of BD, pathogenic factors, and different surgical managements were main considerations in the new classification. After practical application and evaluation, Dong-classification has been improved step by step. It is believed that Dongclassification may contribute to improving surgical treatment decision and selecting reasonable operative plan.

     

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