Study On The Clinical Diagnosis And Treatment Of 70 Cases In Congenital Biliary Dilation

ObjectiveTo discuss the imaging characteristics and clinical treatment methods of congenital biliary dilation.And to provide scientific reference value for diagnosing and treating congenital biliary dilation mmore exactly.MethodsAnalyze retrospectively related data of 70 cases congenital biliary dilation who were operated in people's hospital of henan province from january 2010 to january 2015.Make the clinical questionaire of congenital biliary dilation.And fillthe information of the gender?age?cyst parting?clinical symptoms?image feature?preoperative complications?operation method?postoperation complications and long-term follow-up results in the questionaire.List statistical information in the form and analyze it.Result70 patients were diagnosed by some imaging detections including MRI?CT?B ultrasound and so on.All the patients in the row had the B ultrasound examination,and 57 patients were made a definite diagnosis.45 patients had the MRCP examination,and all the patients were made a definite diagnosis.1 patient had the ERCP examination and was made a definite diagnosis.Operation treatment:There were 66 cases were type I,65 cases were treated by the way of gall bladder and cyst resection?hepatic duct jejunum anastomosis,and 1 case was treated by gall bladder and cyst resection?Pancreatic duodenal resection.1 case was type II,and was treated by gall bladder and cyst resection?hepatic duct jejunum anastomosis.1 case was type IVa,and it was treated by gall bladder and cyst resection?Pancreatic duodenal resection?left outside live lobes resection.2 cases were type IVb,and they were treated by gall bladder and cyst resection ? hepatic duct jejunum anastomosis.There were no cases of type ? and type v in the row.All the patients recovered smoothly after operation.Few patients had the situation of infection of wound?billary fistula?lung infection.They were all recovered afert the right dispose.And there were no Serious complications and death case.With a 97.1% follow-up rate of 6 months to 56 months,4 cases of simple cholangitis,3 cases of cholangitis combined with intrahepatic bile duct stone,2 cases of cholangitis combined with intrahepatic bile duct stone,anastomotic stricture and jaundice.ConclusionThe congenital biliary dilation can happend at all ages,especially at young women.Patients often lack typical clinical manifestation.The diagnosis needs to depend on imaging examination,and the first examination way is B ultrasound.If a patient have cholangiectasis,he or she has to have the to have a deep understanding on the imaging fertures of APBDJ and CBD.The APBDJ is the main mechanisms of CBD,and it is the dangerous factor for CBD to become malignant transformation.We should pay high attention to the advanced age and Recurrent biliary tract infections patients in clinical work.Once diagnose it early,we should depend on its imaging festures ang types to choose the right operation way and operation time.It has very important significance in ensuring the treatment effect?reversing the damage of liver function and reducing the complication.