中国实用外科杂志2025，Vol.45Issue(11)：1256-1259,4.DOI:10.19538/j.cjps.issn1005-2208.2025.11.09
胆管扩张症诊断与外科治疗要点与难点
Key points and challenges in the diagnosis and surgical treatment of biliary dilatation
摘要
Abstract
Biliary dilatation(BD)is a benign biliary disorder characterized by cystic or fusiform dilation of the intra-and extra-hepatic bile ducts,with a higher prevalence in East Asian populations and among females.The pathogenesis is primarily associated with pancreaticobiliary maljunction(PBM).Clinical presentation is highly variable,and diagnosis relies on imaging including ultrasound,CT,and MRCP.Surgical resection remains the curative treatment,emphasizing complete excision of the diseased bile ducts and biliary reconstruction.Key challenges include the management of the intrapancreatic bile duct,accurate intraoperative determination of the extent of involvement,and individualized surgical strategies.Although surgery significantly reduces the risk of complications and malignancy,patients remain at lifelong risk for long-term complications,necessitating a lifelong and multidisciplinary long-term follow-up system to monitor complications and malignant transformation.关键词
胆管扩张症/胆胰合流异常/诊断/外科治疗/预后Key words
biliary dilatation/pancreaticobiliary maljunction/diagnosis/surgical treatment/prognosis分类
医药卫生引用本文复制引用
JIN Shuo,XIANG Can-hong,ZENG Jian-ping..胆管扩张症诊断与外科治疗要点与难点[J].中国实用外科杂志,2025,45(11):1256-1259,4.基金项目
清华大学临床医学研究卓越临床研究计划项目(No.TUCR10820241000,No.TUCR10820241004) Tsinghua University Clinical Research Program(No.TUCR10820241000,No.TUCR10820241004) （No.TUCR10820241000,No.TUCR10820241004）
