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文章报导该院自1986~1995年收治的原发性硬化性胆管炎20例,其中男性16例,女性4例,平均年龄44岁。从出现症状至确诊平均病程2年,阻塞性黄疸是该组病人的突出表现。诊断主要依靠直接胆道造影,如胆管纤细,枯树枝状,串珠状,剪枝状或跳跃节段状,水中胆道病理检查可以与胆管癌鉴别。硬化性胆管炎应该早期治疗,主要手术方式是胆管空肠Rouxy吻合加肝内胆管U管引流,胆管的支撑管应停留1年以上。本病最终会引起胆汁性肝硬化,终末期可选择肝移植。
The article reported 20 cases of primary sclerosing cholangitis admitted to the hospital from 1986 to 1995, including 16 males and 4 females, with an average age of 44 years. From symptoms to diagnosis of the average duration of 2 years, obstructive jaundice is the outstanding performance of the group of patients. Diagnosis mainly depends on direct cholangiography, such as bile duct slender, dry dendritic, beaded, pruning or jumping segments, the pathological examination of biliary tract in water can be identified with cholangiocarcinoma. Sclerosing cholangitis should be treated early, the main surgical approach is bile duct jejunal Rouxy anastomosis plus intrahepatic biliary U tube drainage, bile duct support tube should stay for more than 1 year. The disease will eventually cause biliary cirrhosis, end-stage liver transplantation may choose.