總膽管囊腫之超音波診斷

Diagnosis of Choledochal Cyst by Sonography

鄧克非(K.F. Teng) ； 潘慧本(H.B. Pan) ； 周宜宏(Y.H. Chou) ； 刁翠美(C.M. Tiu) ； 許重權(C.C. Hsu) ； 姜仁惠(J.H. Chiang) ； 吳峻吉(C.C. Wu) ； 張遵(T. Chang)

《中華放射線醫學雜誌》 11卷4期 (1986/12) Pp. 305-310

摘要

總膽管囊腫是一種罕見的先天性疾病，過去傳統的放射線學檢查，對此病的診斷不易，故其手術前的診斷率偏低。近年來醫用超音波與電腦斷層的使用，使總膽管囊腫的術前診斷率大為提高。
榮民總醫院自民國70年1月至75年3月，經病理證實為總膽管囊腫且曾做過超音波檢查的12個病例加以整理、討論。其中11例為女性、1例為男性；年齡分佈在14天至61歲間；10歲以下的佔7例。依類型分，則屬第一型甲者7例；第一型乙者5例。合併有膽結石者2例，膽囊發炎者3例。超音波診斷總膽管囊腫殆無困難，12例均可呈示出右上腹縱走之橢圓形囊狀腫塊，其上端與主膽管有交通；肝內膽管之囊狀擴張或單純均勻之擴張亦可偵得。超音波是總膽囊腫術前正確診斷的可靠工具。

並列摘要

Choledochal cyst is a rare congenital disease. The accurate preoperative diagnosis is comparatively low with the traditional radiological examinations. Recently with the help of sonography and computed tomography, the pre-operative diagnostic accuracy is much increased.
Twelve patients with choledochal cyst, proved pathologically, were examined by sonography in the Veterans General Hospital from January, 1981 to March, 1986. There were altogether 11 females and I male patient. The age distribution ranged from 14 days old to 61 years old. Seven patients were below 10 years old. Seven patients were classified as type A and the remaining five as A'. There were two patients associated with gall stone and three with cholecystitis. Sonography can depict an ovoidshaped structure in the right upper abdomen, with its cephalad end communicating with the major bile duct. Some may be accompanied by cystid dilation of the intrahepatic ducts (IHDs) or evenly dilated IHDs. Sonography is a useful mathod for the correct preoperative diagnosis of choledochal cyst.