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題 名 | Congenital Choledochal Cyst in Adults=成人之總膽管囊腫 |
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作 者 | 李金德; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:1 1983.03[民72.03] |
頁 次 | 頁80-89 |
分類號 | 416.247 |
關鍵詞 | 成人; 總膽管囊腫; |
語 文 | 英文(English) |
中文摘要 | 高雄醫學院外科由1972年元月至1982年十月間,共經驗了6位成人總膽管囊腫的病例,其年齡由21歲至73歲;男性有2位,女性有4位,男女之比為1比2。腹痛是最常見的徵狀,黃疸其次;而僅有1/3的病例具備典型的三徵。診斷上,三位病人(50%)術前由内視鏡逆行性胰膽造影術診斷,一位病人以術後胆道造影術診斷;另二位則放開腹手術中發現,有三例併存有胆石症。全部病例都接受手術治療,有4例接受膽管囊腫空腸吻合術,剩餘的1例(第三型)僅接受T型管引流。在接受膽管囊腫空腸吻合術的4例中,有一例術後發生胆管炎;但長期的追踪觀察,並無病例有惡性變化。 |
英文摘要 | Six adult patients with choledochal cyst were treated in Kaohsiung Medical College Hospital in recent decade. There were 2 males and 4 females with the ages ranged from 21 to 73. The types of this anomaly according to Longmire et al were type Ia in 4 cases, type IV in one case and type III in another case. Abdominal pain was the most common symptom and the classical triad occurred in one third of the patients. Three cases were diagnosed by preoperative endoscopic cholangiopan-creaticography, one case by postoperative T-tube cholangiography and the other 2 cases by laparotomy and then confirmed by T-tube cholangiography. Coexistance of gall stones was found in 3 cases, representing a rate of 50%. All the patients received surgical treatment, which included Roux-Y choledochocystojejunostomy in 4 cases, excision of the cyst with Roux-Y hepaticojejunostomy in one case and T-tube drainage in the other case. Concomitant cholecystectomy was performed in all patients. One of the patients who received internal drainage suffered from cholangitis postoperatively. But so far no malignant change was found. |
本系統中英文摘要資訊取自各篇刊載內容。