先天性胆管囊状和柱状扩张的胆胰管合流异常  

Anomalous junction of pancreaticobiliary duct in congenital bile-duct cystic and cylindrical dilatation

作　　者：李索林[1] 张道荣 时保军[1] 李振东[1] 陈新英[1] 

机构地区：[1]河北医科大学第二医院小儿外科,石家庄050000

出　　处：《中华外科杂志》2000年第5期349-351,I024,共4页Chinese Journal of Surgery

摘　　要：目的　探讨先天性胆管囊状和柱状扩张与胆胰管合流异常 (APBD)特征的关系。　方法　对 5 1例先天性胆管扩张患者行胆道造影检查。　结果　 43例确定有APBD。囊状组胆管汇入胰管 18例 (72 % ) ,柱状组胰管汇入胆管 14例 (78% ) ;囊状组和柱状组对比胆管远端内径 (P <0 0 1)、胰管最大径 (P <0 0 5 )及胆胰管交角 (P <0 0 1)均有显著性差异。　结论　不同的APBD常类型常导致不同形式胆道病理变化 ,囊状扩张多是胆管远端明显狭窄近直角汇入胰管 ,而柱状扩张多是胰管以锐角形式汇入胆管。Objective[WT5”BZ] To study the relationship between anomalous junction of pancreaticobiliary duct (APBD) and congenital bile duct cystic as well as cylindrical dilatation. [WT5”HZ]Method[WT5”BZ] Cholangiography was performed in 51 patients with bile duct dilatation. [WT5”HZ]Results[WT5”BZ] APBD was diagnosed in 43 patients.In 8 patients (72%), the bile duct was drained into the pancreatic duct(B P) in the cystic group, whereas in 14 patients (78%), the pancreatic duct was drained into the bile duct(P B) in cylindrical group. There were significant differences in the internal diameter of the distal bile duct( P <0 01), the maximal diameter of the pancreatic duct( P <0 05) and the average angle of pancreaticobiliary junction ( P <0 01) in cystic and cylindrical groups. [WT5”HZ]Conclusions[WT5”BZ] Different types of APBD after lead to different pathological changes of the biliary tract. The narrowed distal bile duct joins the pancreatic duct at a right angle in most cystic cases and the pancreatic duct joins the bile duct at an acute angle in most cylindrical cases. [WT5”HZ]

关 键 词：胆管囊状扩张 胆管柱状扩张 胆胰管合流异常 

分 类 号：R657.4[医药卫生—外科学]