圣贤养生(原神灸网)
互联网yaojiushenjiu.com

饮食养生:胆管扩张严重吗

病理学根据有无肝内纤维化和门脉高压将carolis病分为i型、ii型。

According to the presence or absence of intrahepatic fibrosis and portal hypertension, Carolis disease was divided into type I and type II.

i型表现为单纯性肝内胆管扩张伴有胆囊炎、胆石症,少数可有胆总管囊肿,无合并肝硬化及门脉高压,病理上病变多为局限性,以肝内胆管扩张、纤维增生和大量纤维组织细胞反应为特征,并围绕胆管周围,胆管周围的炎症细胞浸润明显,部分上皮呈乳头状生长,可发生上皮的不典型增生或癌变,故carolis病本身为一种癌前病变,癌变率约为7%。

Type I showed simple dilatation of intrahepatic bile duct accompanied by cholecystitis and cholelithiasis. A few patients had choledochal cyst, without cirrhosis and portal hypertension. The pathological changes were mostly limited. The lesions were characterized by intrahepatic bile duct dilatation, fibrohyperplasia and a large number of fibrous tissue cell reactions. Around the bile duct, inflammatory cells infiltrated significantly around the bile duct, and some epithelium grew in papillary shape, Atypical hyperplasia or canceration may occur in the epithelium. Therefore, Carolis disease itself is a precancerous lesion with a canceration rate of about 7%.

腹块位于右上腹,在肋缘下,巨大者可占全右腹,肿块光滑、球形,可有明显的囊肿弹性感,当囊内充满胆汁时,可呈实体感,好似肿瘤。

The abdominal mass is located in the right upper abdomen. Under the costal margin, the huge mass can occupy the whole right abdomen. The mass is smooth and spherical, and can have obvious cyst elasticity. When the cyst is filled with bile, it can be solid, like a tumor.

3.2、小的胆管囊肿,由于位置很深,不易扪到。

2. Small bile duct cyst is difficult to palpate because of its deep position.

腹痛发生于上腹中部或右上腹部,疼痛的性质和程度不一,有时呈持续性胀痛,有时是绞痛,病者常取屈膝俯卧体位,并拒食以减轻症状。

Abdominal pain occurs in the middle of the upper abdomen or the right upper abdomen. The nature and degree of pain are different. Sometimes it is persistent distending pain, sometimes colic. The patient often takes the prone position with knees bent and refuses to eat to alleviate the symptoms.

2、胰腺炎:10.5%~56.0%的bd患者合并急性胰腺炎。

2. Pancreatitis: 10.5% - 56.0% of BD patients complicated with acute pancreatitis.

因此,临床上对不典型的“急性胰腺炎”,尤其是反复发作的胰腺炎、胆道感染的鉴别诊断均应考虑到bd。

Therefore, BD should be considered in the differential diagnosis of atypical acute pancreatitis, especially recurrent pancreatitis and biliary tract infection.

3、胆道癌变:bd患者胆道癌变特点:(1)发生率随患者年龄增大而递增:年龄<10岁为0~0.7%,10~20岁为6.8%,21~40岁为15.0%,41~70岁为26.0%,>70岁达45.5%。

3. Bile duct canceration: the characteristics of bile duct canceration in BD patients: (1) the incidence rate increased with the age of patients: the age of & lt; 10-20 years old was 0-0.7%, 10-20 years old was 6.8%, 21-40 years old was 15.0%, 41-70 years old was 26.0%, and & gt; 70 years old was 45.5%.

胆管扩张的治疗1、外引流术应用于个别重症病例,如严重的阻塞性黄疸伴肝硬变,重症胆道感染,自发性胆管穿孔者,待病情改善后再作二期处理。

The treatment of bile duct dilatation 1. External drainage is applied to individual severe cases, such as severe obstructive jaundice with liver cirrhosis, severe biliary tract infection, spontaneous bile duct perforation, and then the secondary treatment is made after the improvement of the condition.

2、囊肿与肠道间内引流术如囊肿十二指肠吻合术,因有较多的并发症,胆管炎的反复发作、吻合口狭窄、结石形成等,以后转而采用囊肿空肠roux-en-y式吻合术,并在肠襟上设计各种式样的防逆流操作,但仍存在胰胆合流问题,因而术后还是发生胆管炎或胰腺炎症状,甚至需要再次手术,且术后发生囊壁癌变者屡有报道。

2. Because of many complications, such as recurrent cholangitis, anastomotic stricture and stone formation, cyst jejunum Roux-en-Y anastomosis was used in the treatment of cyst and intestinal internal drainage, such as cyst duodenal anastomosis. Various types of anti reflux operation were designed on the intestinal flap. However, pancreaticobiliary confluence still exists, so the symptoms of cholangitis or pancreatitis still occur, Even need to be operated again, and the occurrence of cystic wall canceration after operation has been reported frequently.

饮食养生:胆管扩张严重吗

病理学根据有无肝内纤维化和门脉高压将carolis病分为i型、ii型。According to the presence or absence of intrahepatic fibrosis and portal hypertension, Carolis disea

饮食养生:黄疸治疗晚了会怎样

此外还有胆盐血症的临床症状,比如有气无力、头晕头痛、精神萎靡、心跳加快、皮肤会出现大面积瘙痒,更有甚者会出现夜盲症等。In addition, there are clinical symptoms of

饮食养生:胆息肉能吃牡蛎吗

所以胆息肉是可以吃牡蛎的。So gall polyps can eat oysters.2、胆息肉的饮食注意宜多食各种新鲜水果、蔬菜,进低脂肪、低胆固醇食品,少吃高脂肪、高胆固醇食物。2. The die

饮食养生:胆囊肿瘤的治疗

文章目录一、胆囊肿瘤的治疗二、胆囊肿瘤如何预防三、胆囊肿瘤的危害胆囊肿瘤的治疗1、胆囊肿瘤的治疗之西医疗法治疗胆囊癌的原则为以手术为主的综合治疗,其预后主要决定于

饮食养生:胆固醇高吃什么好

文章目录一、 胆固醇高吃什么好二、如何平衡胆固醇三、如何降低胆固醇胆固醇高吃什么好1、燕麦片燕麦中主要破坏胆固醇的物质,叫做“β-聚葡萄糖”,是一种可溶性纤维,能妨碍

饮食养生:黄疸肝炎有什么症状

初起尿色淡黄,逐日加深,浓如茶色或豆油状;继而皮肤及巩膜发黄。At first, the urine color is light yellow, deepening day by day, thick like brown or soybean oil; the

饮食养生:先天性胆道闭锁的原因

尿色较深将尿布染成黄色。The urine color is deep. Dye the diaper yellow.肝脏肿大,质地坚硬脾脏在早期很少扪及,如在最初几周内扪及肿大的脾脏,可能是肝内原因随着疾病的

饮食养生:黄疸肝炎会复发吗

2、黄疸肝炎会复发吃什么药而如果您出现了肝炎的复发的话,一定要注意及时展开有效的治疗,具体可以选择使用健肝灵胶囊,健肝灵胶囊为胶囊剂,内容物为棕色或棕褐色的颗粒;气微

饮食养生:黄疸会影响肝功能吗

新生儿黄疸有时候是生理性的,这是很正常的,如果是病理性黄疸,家长就要带新生儿去医院检查,根据病情的轻重来进行专业的治疗。Neonatal jaundice is sometimes physiological

饮食养生:黄疸肝炎都有哪些症状

患者可能会出现全身发冷,发热、眼球发黄和乏力表现。The patient may have chills, fever, yellow eyes and fatigue.黄疸通常会持续2-5周的时间,黄疸性肝炎症状消退时,患者

发表评论

电子邮件地址不会被公开。 必填项已用*标注