摘要
目的:探讨黏胆症的发病原因、诊断及治疗方法。方法:回顾性分析2005～2008年收治的3例表现为黏胆症的病例治疗方法及效果。结果:3例中,1例术后早期黏胆症症状再发,1例术后半年癌变,1例术后随访中治疗效果良好。结论:黏胆症原发病因众多,包括胆管黏液病,胆管乳头状瘤病,产黏液肝内胆管癌或胆胰管系统嚢性肿瘤,其共同特征表现为胆管内大量黏液导致胆管梗阻,发生梗阻性黄疸和胆管炎。原发病因的不同往往导致治疗效果的差异。其中胆管黏液病治疗效果较好。而胆管乳头状瘤病治疗较困难。处理原则应包括根治性切除产生黏液的病灶,彻底清除胆管内胶冻样物和胆管通畅引流。
Objective ：To study the cause,diagnosis and treadtment of mucobilia. Methods：To perform the retrospective analysis on the treatment method and its effect in 3 cases of mucobilia from 2005 to 2008. Results：In 3 cases, 1 case relapsed in early stage after operation,1 ease occurred canceration after 6 months and 1 case showed better curative effect during follow up period. Conclusion：Mucobilia has many etiological factors,including bile duct mucus disease ,biliary papillomatosis ,mucus production of intrahepatic cholangiocarcinoma or bile duct tumors system.Mucobilia is characterized by common bile duct with a large number of mucus leading to biliary obstruction,the occurrence of obstructive jaundice and chulangitis. The different etiological factors often lead to differences of treatment effects. Among them,bile duct disease has better treatment effect. Biliary papiUomatosis is more difficult in treatment.The treatment principles should include the radical resection of the lesions producing mucus to completely clear jelly-like material within the bile duct and bile duct drainage unobstructed.
出处
《现代医药卫生》
2009年第11期1632-1633,共2页
Journal of Modern Medicine & Health
关键词
黏胆症
梗阻性黄疸
胆管黏液病
外科手术
Mucobilia
Obstructive jaundice
Mucinous biliary disease
Surgery
