肝外胆管腺瘤30例临床诊治分析.PDFVIP

中华普通外科学文献 （电子版） 2018 年 月第 卷第 期 （ ） 12 12 6 Chin Arch Gen Surg Electronic Edition , December 2018, Vol. 12, No.6 • • 393 ·论著 · 肝外胆管腺瘤30 例临床诊治分析 曹意  戴朝六 【摘要】目的  探讨肝外胆管腺瘤的临床特点及诊疗方法，提高对该疾病的认识。 方法  回 顾性分析中国医科大学附属盛京医院2010 年 1 月至2017 年 12 月间收治的30 例肝外胆管腺瘤临 床资料。 结果  30 例肝外胆管腺瘤患者中女 17 例，男 13 例，年龄（58.2 ±12.2 ）岁，主要表现为黄 疸、上腹部疼痛、发热及体质量减轻等症状。所有患者均行手术治疗，术后均经病理检查确诊。随访 0.25~100 个月，失访7 例，死亡5 例，其中2 例死于术后感染，3 例死于术后复发转移；另外 18 例患 者未见复发。结论  肝外胆管腺瘤属于罕见的肝外胆管肿瘤，好发于中老年人，术前诊断困难、易恶 变，根治性切除是其主要治疗方法，术后亦有复发可能应定期复查。 【关键词】胆管肿瘤；胆管, 肝外；诊断；外科手术；回顾性研究 Analysis of the diagnosis and treatment of extrahepatic bile duct adenoma: a report of 30 cases Cao Yi, Dai Chaoliu. Department of Hepatobiliary Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China Corresponding author: Dai Chaoliu, Email: daicl@sj-hospital.org Abstract Objective 【 】 To study the clinical characteristics, diagnosis and treatment of extrahepatic bile duct adenoma. Methods The clinical data of thirty cases of extrahepatic bile duct adenoma admitted between January 2010 and December 2017 in Shengjing Hospital of China Medical University were analyzed retrospectively. Results Of the 30 patients, 17 were female and 13 were male, the age was (58.2 ±12.2) years old. The main clinical symptoms were jaundice, upper abdominal pain, fever and weight loss. All patients were treated with surgical procedure and confirmed by postoperative pathological examination. After a range from 0.25 to 100 months of follow-up, 7 patients lost control, 2 died of postoperative infection, 3 died of postoperative recurrence and metastasis, and 18 had no recurrence. Conclusions Extrahepatic bile duct