الاتصالات الكيسية الصفراوية في كيسات الكبد المائية تشخيص وتدبير

Authors

  • أكثم قنجراوي

Abstract

شملت الدراسة 47 مريضاً لديهم اتصال كيسي صفراوي   من أصل 213 مريضاً أي بنسبة  22.38 %.    عولجوا في قسم الجراحة بمشفى الأسد الجامعي باللاذقية بين عامي 1992 و 2007.

يمكن التنبؤ بوجود اتصال كيسي صفراوي بواسطة مشعرات مهمة : ارتفاع في  مستويات ALP، GGT، TB،DB و قطر الكيسة < 10 سم، والكيسات المتعددة والناكسة. تم توزيع مرضى الدراسة إلى 3 مجموعات حسب زمن تشخيص الاتصال الكيسي الصفراوي بالنسبة للجراحة. التدابير الجراحية التي اتبعت خياطة الناسور + رأب الثرب + نزح قناة الصفراء (T-tube). تم علاج التسريب الصفراوي بعد الجراحة علاجاً محافظاً.و تم إجراء الـ ERCP عند تشكل الناسور عالي النتاج أو استمراره لأكثر من 3 أسابيع.بلغت نسبة المضاعفات بعد الجراحة 60.2 % مع حالتي وفاة. متوسط الإقامة في المشفى أطول عند حدوث الاتصال الكيسي الصفراوي، وهذا يزيد من نسبة المراضة والوفيات بعد الجراحة وبالتالي من المهم  جداً تشخيصه قبل الجراحة وفي أثنائها ليكون العلاج  ناجعاً.

The study included 47 patients who had CBC among 213 patients who had Hydatid Liver cysts (rate 22.38%) and had been admitted and treated in department of Surgery in Assad Hospital in Lattakia between 1992 and 2007. CBC can be predicted by important predictors: elevation of ALP, GGT, TB, DB values, Eosinophils count, cyst diameter >10 cm and recurrent and multi cysts. The study patients were divided into 3 groups according to the time of CBC diagnoses for surgery. The treatment of postoperative biliary leakage was conservative. ERCP was done when a high output fistula happens or when it remains for more than 3 weeks. 60.2 % was the average of postoperative complication and two patients died. The main hospital stay was longer in CBC. This increases postoperative morbidity and mortality. So CBC diagnosis during surgery is very important to have useful treatment.

Downloads

Published

2019-01-17

How to Cite

1.
قنجراوي أ. الاتصالات الكيسية الصفراوية في كيسات الكبد المائية تشخيص وتدبير. Tuj-hlth [Internet]. 2019Jan.17 [cited 2024May3];30(3). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6538

Issue

Vol. 30 No. 3 (2008): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 > >>