沈天鸣 吕维富 300142 天津，中国人民解放军第二五四医院放射科 中华小儿外科杂志 1998 0 19 6


    关键词：ERCP；胰胆管畸形 期刊 zhxrwkzz 0 临床研究 fur -->


    

摘要 目的：探讨青少年胰胆管畸形的ERCP表现特点及其与胰胆系病变的关系。方法：应用X线电视录像和多轴位透视、 摄片等技术研究29例异常胰胆管连接(APBDU)，8例胰腺分裂(PD)和31例胆囊管低位汇入(LOCD)患儿的ERCP表现特点及其伴发疾病情况，并与50例正常胰胆管连接者(对照组)比较。结果： ①APBDU组胆管炎、胆管囊肿、 慢性胰腺炎的发生率明显高于对照组(P<0.05)。APBDU组合并慢性胰腺炎的患儿以胰管增粗、迂曲等改变为主， 而对照组主要表现为胰头变硬或增大等。②PD组慢性胰腺炎的发生率显著增高(P<0.01)。③LOCD组慢性胰腺炎和胆系结石的发生率显著增高。结论：ERCP是诊断胰胆管畸形的有效手段，胰胆管畸形与多种胰胆系病变存在病因学联系。

    ERCP Features of Pancreatico-biliary Ductal Abnormalities and ItsClinical Implication in Adolescents Shen Tianming, Lu Weifu. Department ofRadiology, PLA 254 Hospital, Tianjin 300142

    Abstract Objective: To characterize pancreatico-biliary ductalabnormalities in adolescents and correlate to the features clinically. Methods: The ERCPfeatures of 68 patients with pancreatico-biliary ductal abnormalities and 50 controls wereanalyzed on video. The incidence of pancreatico-biliary disease in each group wascalculated. Results: There were 29 cases with anomalous pancreatico-biliary ductal union(APBDU), 8 pancreas division(PD) and 31 low cystic duct entry(LOCD). The incidence of cholangitis, choledochal cysts and chronic pancreatitis in APBDU group was significantlyhigher than that of the control group. The incidence of chronic pancreatitis in PD groupwas significantly higher than that in control group (P<0.01). The incidence of chronicpancreatitis and gallstones in LOCD group was higher than that of the control group.Conclusions: ERCP is an effective diagnostic modality of pancreatico-biliaryabnormalities. The anomalous pancreatico-biliary morphology correlate clinically with highincidence of pancreatico-biliary diseases.

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