胆胰反流致胰腺炎的临床研究  

Biliopancreatic reflux in the pathogenesis of pancreatitis

作　　者：季茹[1] 窦科峰[1] 

机构地区：[1]第四军医大学西京医院肝胆胰脾外科,陕西西安710032

出　　处：《中国实用外科杂志》2010年第5期355-357,共3页Chinese Journal of Practical Surgery

摘　　要：胆胰结合部的解剖变异和多种病变与胰腺炎关系密切,胆胰反流是其中的重要环节。临床上对胆胰反流的诊断主要依靠内镜技术和影像学检查,其引起胰腺炎的病理生理尚未完全阐明。近年来国内外对胰胆管汇合异常(PBM)、胰胆管高位汇合(HCPBD)和胆石症等多种病因下胆胰反流与胰腺炎的关系进行了研究。目前对胆胰反流的治疗有多种手段,内镜手术的优势日益显著。The anatomic variations and pathological changes of pancreaticohiliary junction are closely related to acute/ chronic pancreatitis, and the biliopancreatic reflux is noted as an etiological factor. Biliopanceratic reflux is mainly diagnosed by endoscope and imaging. The pathophysiology of biliopancreatic reflux in patients with acute/chronic pancreatitis remains unclear. In recent years, the clinical implications between pancreatitis and biliopancreatic reflux （caused by pancreaeticobiliary maljunction, high confluence of pancreaticobiliary ducts and cholelithiasis） were studied. The current management of biliopancreatic reflux includes various methods, and the endoscopic technique has an increasing advantage.

关 键 词：胆胰反流 胰腺炎 胆胰结合部 

分 类 号：R6[医药卫生—外科学]