Kev kuaj mob ntawm cov kab mob bile duct dilatation

Tus kab mob biliary duct dilatation yog ntau congenital biliary duct malformation, xav tias ua ntej yog ib hom kab mob uas raug txwv rau BILE DUCT, vim qhov no yog hu ua CONGENITAL BILE DUCT CYST. Kev kuaj mob ntawm tus kab mob no yuav raug txiav txim siab nyob rau hauv lub teeb ntawm peb cov tsos mob tseem ceeb, mob plab, plab plab, thiab jaundice, uas tshwm sim tsis tu ncua txij li thaum ntxov. Yog tias cov tsos mob rov ua dua, qhov tshwm sim ntawm kev kuaj mob tau nce ntau. Cov mob cystic feem ntau yog mob plab, thiab lub hnub nyoog ntawm qhov pib yog ntxov. Kev kuaj mob tuaj yeem ua tau los ntawm palpation ua ke nrog kev kuaj ultrasound. Fusiform mob feem ntau tshwm sim los ntawm kev mob plab. Ntxiv nrog rau kev kuaj xyuas ultrasound, ERCP lossis PTC kev kuaj xyuas yog tsim nyog los kuaj xyuas qhov tseeb. Tsis muaj qhov sib txawv tseem ceeb hauv cov tsos mob ntawm jaundice ntawm ob hom, thiab ob qho tib si tuaj yeem tshwm sim.

(1) Kev kuaj ntshav biochemical ntawm cov ntshav thiab zis amylase yuav tsum raug suav tias yog kev kuaj mob niaj hnub thaum pib mob plab, uas yuav pab tau rau kev kuaj mob. Nws tuaj yeem qhia tau tias muaj feem cuam tshuam nrog pancreatitis. Los yog qhia tias muaj qhov txawv txav ntawm cov kab mob pancreaticobile duct, qhov siab ntawm pancreatic amylase uas rov ua rau cov kua tsib nkag mus rau hauv cov ntshav ncaj qha los ntawm cov kab mob capillary bile duct thiab ua rau pancreatic amylase emia siab. Nyob rau tib lub sijhawm, cov txiaj ntsig ntawm tag nrho cov choleosin, 5 'nucleosidase, alkaline phosphatase thiab transaminase tau nce, thiab tag nrho cov rov qab mus rau qhov qub nyob rau lub sijhawm tso cai. Hepatocellular puas muaj nyob rau hauv cov neeg mob uas muaj kab mob ntev thiab yog ib txwm nyob rau hauv cov neeg mob asymptomatic.

B - hom ultrasound imaging muaj qhov zoo ntawm kev pom ncaj qha, taug qab thiab kev soj ntsuam dynamic. Piv txwv li, thaum BILIARY tract OB SIB HAUS THIAB DILATED, LUB SIJ HAWM THIAB TSEV KAWM NTAWV NTAWM cov ntsiab lus ntawm cov kua dej, qhov degree thiab ntev ntawm cov kua tsib DILation tuaj yeem kuaj pom tau raug, thiab qhov tseeb ntawm kev kuaj mob tuaj yeem ncav cuag 94 feem pua ​​lossis ntau dua. Nws yuav tsum tau siv raws li ib tug diagnostic txoj kev rau niaj hnub kuaj.

(3) Percutaneous transhepatic cholangiography (PTC) yog ib qho yooj yim kom ua tau zoo nyob rau hauv cov neeg mob uas muaj hepatobiliary duct dilatation, uas muaj peev xwm qhia tau meej meej intrahepatic bile duct thiab nws cov dej ntws, thiab qhia meej seb puas muaj bile duct dilatation thiab cov Scope ntawm dilatation. Nws tuaj yeem siv rau hauv cov kab mob jaundice txhawm rau txheeb xyuas qhov ua rau lossis qhov chaw ntawm kev cuam tshuam, thiab kev hloov pauv ntawm cov kab mob ntawm cov kab mob hauv cov phab ntsa ntawm cov kua tsib thiab nws sab hauv tuaj yeem pom, thiab qhov ua rau muaj kev cuam tshuam tuaj yeem raug txheeb xyuas raws li cov yam ntxwv ntawm nws cov duab.

(4) Endoscopic retrograde cholangiopancreatography (ERCP) nrog kev pab ntawm duodenoscope, tus neeg sawv cev zoo sib xws tuaj yeem raug txhaj ncaj qha rau hauv cov kua tsib thiab cov kab mob pancreatic los ntawm kev qhib lub txiv mis cannula, txhawm rau txheeb xyuas qhov ntev ntawm cov kua tsib dilatation thiab qhov chaw ntawm kev cuam tshuam, thiab qhia qhov ntev thiab qhov txawv txav ntawm cov channel ntawm cov kab mob pancreatic thiab cov kua tsib.

(5) Kev kuaj mob plab hnyuv barium nrog loj cystic dilation tuaj yeem pom sab laug sab laug duodenum hloov chaw, duodenal thav duab loj, thiab ib leeg indentations. Nws tus nqi kuaj tau raug hloov los ntawm kev kuaj ultrasound.

(6) Intraoperative cholangiography (intraoperative cholangiography) Thaum cov xov xwm sib txawv tau ncaj qha mus rau hauv cov kab mob hauv lub cev thaum lub sijhawm ua haujlwm, tag nrho cov duab ntawm cov kab mob intrahepatic thiab extrahepatic bile duct system thiab pancreatic duct tuaj yeem pom, thiab qhov loj ntawm intrahepatic bile duct dilatation thiab Cov xwm txheej regurgitant ntawm cov kab mob pancreatic thiab cov kab mob hauv cov kua tsib tuaj yeem nkag siab, uas yuav pab tau rau kev xaiv cov kev phais thiab kev kho mob tom qab phais.

Cov kev kuaj saum toj no, hauv kev kuaj mob feem ntau yog thawj zaug kuaj ultrasound thiab kev txiav txim siab biochemical, xws li kev soj ntsuam palpable plab plab, ces qhov kev kuaj mob tuaj yeem tsim. Yog tias qhov loj ntawm qhov tsis tuaj yeem pom hauv kev kho mob thiab qhov kev kuaj mob xav tau los ntawm ultrasound, ERCP yuav tsum tau ua. Yog tias cov cuab yeej thiab hnub nyoog txwv, PTC kev kuaj xyuas yog ua, ntxiv los ntawm lwm txoj hauv kev yog tias tsim nyog.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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