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| 題 名 | 成年人之總膽管囊腫 |
|---|---|
| 作 者 | 陳敏夫; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 14:2 1981.06[民70.06] |
| 頁 次 | 頁117-127 |
| 關鍵詞 | 成年人; 總膽管囊腫; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 報告7個成年人總膽管囊腫的病例。 1例因為急性腹症,接受緊急手術,而發現是總胆囊囊腫。另1例,因"經靜脈放射同位素胆系閃爍攝影術"懷疑是肝內結石而接受手術。其他5例,使用腹部超音波檢查,經靜脈放射同位素胆系閃爍攝影術,及經內視鏡逆行性胆道攝影術等,在手術前卽已經有正確之診斷。 本報告7例中,有2例手術做囊腫與十二指腸吻合術;2例做囊腫與空腸吻合術;其他3例做整個囊腫割除及總胆管及空腸吻合術;手術後,癒後尚佳。 成年人之總胆管囊腫,雖無特定之症狀,但有持續性右上腹痛,或腹部腫瘤,或發現黃疸,應以腹部都超音波檢查或靜脈胆道閃爍攝影等,再以內視鏡逆行性胆道攝影等,確立診斷。 |
| 英文摘要 | Seven cases of congenital choledochal cyst in adult were reviewed. One patient underwent emergency operation because of "acute abdomen". Another patient was operated under the impression of intrahepatic stone and the diagnosis of choledochal cyst was established during operation. The remaining 5 patients were diagnosed as choledochal cyst before operation by the use of abdominal sonography, endoscopic retrograde cholangiography and intra-venous radio-nuclear cholescintigraphy. Internal drainage of the cyst has been accepted for mariy years. Cysto-jejunostomy was regarded as superior to cystoduodenostomy in preventing post-operative cholangitis. Total excision of the cyst followed by choledocho-jejunostomy (or hepatico-jejunostomy) Roux-en-Y was preferred by many surgeons in the recent years for the reasons that choledochal cyst may undergo malignant change and that the retained cyst is the source of post-operative cholangitis. The operative procedures of our seven cases of choledochal cyst in adult were cysto-duodenostomy in two cases, cysto-jejunostomy in two cases and total excision of the cyst, followed by choledochojejunostomy Roux-en-Y in three cases. The post-operative courses were uneventful in all cases. Delayed cholangitis were found in two cases (cysto-duodenostomy one and cysto-jejunostomy one) but were successfully. managed by conservative treatment. |
本系統中英文摘要資訊取自各篇刊載內容。