关键词：胆管囊性扩张；胰胆管合流异常
【摘要】目的探讨先天性胆管囊性扩张症的诊断与治疗。方法经内镜逆行胰胆管造影(ERCP)对该症作出诊断。结果从本院ERCP1254例中检出15例，本组有8例合并胰胆管合流异常，占533%；同时有8例合并其他胰胆疾病，占53.3%。结论诊断以ERCP为首选，能确诊并可明确有无合并胰胆管合流异常。该症治疗采用早期囊肿切除同时行胆管空肠吻合术，预后良好。
Congenital cystic cholangiectasis with abnormal pancreaticocholangial connection
ZHANG Kejian , YU Zhong, WANG Yuanxin, et al.
( Department of Gastroenterology, China - Japan Friendship Hospital,Beijing 100029, China
【 Abstract 】 Objective The relationship between congenital cystic cholangiectasis and abnormal pancreaticocholangial connection was explored. Methods Endoscopic retrograde cholangiopancreatography (ERCP) was applied. Results 15 patients were diagnosed to have congenital cystic cholangiectasis by ERCP from 1254 cases, of which 8 (53.30 % ) being associated with abnormal pancreaticocholangial connection. Conclusion The rare disorder of congenital cystic cholangiectasis with or without abnormal pancreaticocholangial connection can clearly be visualized and diagnosed by ERCP. Early excision of the cystic dilatation with intestinal diversion offers favorable results
【 Key words 】 Cystic cholangiectasis; Abnormal pancreatico - cholangial connection
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