摘要
目的探讨原发性硬化性胆管炎的诊断和治疗方法。方法对我院1998~2009年经影像学检查确诊的原发性硬化性胆管炎27例的诊断和治疗进行回顾性研究。结果 24例黄疸,3例合并溃疡性结肠炎,3例合并克隆氏病,24例脾肿大,2例采用外科手术治疗均死亡,14例采用熊去氧胆酸治疗,2例抗炎保肝治疗,9例熊去氧胆酸+强的松治疗。随访24例,其中3例死亡,5例再发继续治疗,其余16例病情稳定未再继续治疗。结论原发性硬化性胆管炎病因不明,临床表现主要是阻塞性黄疸,药物治疗效果明显,不需要长期服药。
Objective To expore the diagnosis and treatment strategy of primary sclerosing cholangitis. Methods 27 cases of primary sclerosing cholangitis identified by image from1998 to 2009 were analysed to review the diagnosis and the effects of medicine retrospectively. Results 24 cases have the history of obstructive jaundice, 3 case with Ulcerative Colitis,3 case with crohn s disease,24 cases with splenomegaly,2 cases with surgical treated and all dead,14 cases were treated with ursodeoxycholicacid,2case with hep...
出处
《肝胆外科杂志》
2011年第1期38-40,共3页
Journal of Hepatobiliary Surgery
