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摘要:
目的 研究逆行胰胆管造影(endoscopic retrograde cholangiopancreatography, ERCP)对肝包虫囊肿破入胆总管的诊疗价值。 方法 报告1例肝包虫囊肿破入胆总管患者的ERCP诊治经过并复习文献。 结果 该患者临床表现类似急性化脓性胆管炎, 经ERCP确诊, 且治疗后好转。 结论 肝包虫病患者突发急性胆系感染, 应怀疑肝包虫囊肿破入胆道。围手术期ERCP对提高该病的诊治水平有重要价值。 -
[1] Dzirlo L, Wasilewski M, Poeschl E, et al. Liver cyst of echinococcus granulosus with rupture into the biliary treesuccessful endoscopic and pharmaceutical treatment[J]. Am J Gastroenterol, 2006, 101: 1674-1675. doi: 10.1111/j.1572-0241.2006.00627_5.x [2] Manouras A, Genetzakis M, Antonakis PT, et al. Endoscopic management of a relapsing hepatic hydatid cyst with intrabiliary rupture: a case report and review of the literature[J]. Can J Gastroenterol, 2007, 21: 249-253. doi: 10.1155/2007/410308 [3] Galati G, Sterpeti AV, Caputo M, et al. Endoscopic retrograde cholangiography for intrabiliary rupture of hydatid cyst [J]. Am J Surg, 2006, 191: 206-210. doi: 10.1016/j.amjsurg.2005.09.014 [4] Cicek B, Parlak E, Disibeyaz S, et al. Endoscopie therapy of hepatic hydatid cyst disease in preoperative and postoperative settings[J]. Dig Dis Sci, 2007, 52: 931 -935. doi: 10.1007/s10620-006-9426-4 [5] Goumas K, Poulou A, Dandakis D, et al. Role of endoscopic intervention in biliary complications of hepatic hydatid cyst disease[J]. Scand J Gastroenterol, 2007, 42:113-1119.. doi: 10.1007/s00535-006-1919-6 [6] 吐尔干艾力·阿吉, 邵英梅, 赵晋明, 等.37例肝囊型包虫破人胆道诊治分析[J].新疆医科大学学报, 2006, 29: 430-432. http://www.cnki.com.cn/Article/CJFDTotal-XJYY200605019.htm [7] 张军, 崔刚.肝包虫破人胆道21例诊治体会[J].腹部外科, 2005, 18: 354-355. http://www.cnki.com.cn/Article/CJFDTotal-FBWK200506019.htm [8] 吴新民, 辛维藩, 赵顺云.肝包虫囊肿破人胆总管37例报告[J].中华外科杂志, 1997, 35: 279-280. -
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