摘要
对我院14年来2322例直接胆管造影所发现的27例AJPBD进行研究，27例中胆总管囊肿8例，胆石症9例，慢性胰腺炎4例，胆管炎3例，胆囊癌2例，胰体癌1例。临床表现为上腹痛（92．6％），黄疸（70．4％），发热（48．1％）或Charcot三联症（44.4％）。发病年龄3～60岁（36．9士17．8）。共同管长15～44mm（20.2士5．9）。据胆、胰管汇合形式作者将AJPBD分为三型。值得注意的是本组3例复杂型患病年龄均＜15岁。本组以胆、肠内引流手术效果满意。AJPBD与胆、胰疾病发生、发展密切相关，作者建议用“共同管综合征”来表述这一复杂病理现象。
A retrospective study was carried out for anomalous junction of pancreaticobiliary duct (AJPBD) in 27 patients among 2, 322 cases recieving cholangiopancreatography in a period of 14 years. Of the 27 patients (aged from 3 to 60 with a mean age of 36. 9±17.8 years). 8, 9, 4, 3, 2 and1 Patients suffered respectively from chole dochal cyst, cholelithiasis, chronic pancreatitis, cholangltis, gallbladder carcinoma and pancreatic carcinoma. Clin ical manifestations were upper abdominal pain (92. 6% ); jaundice (70. 4% ); fever (48.1 % ) and Charcot triad (44. 4% ). The mean length of common channel was 20. 2±5. 9 with a range of 15 to 44 mm. AJPBD was classi fied into three types according to the junction of biliary and pancreatic duct. Much attention should be paid to the complex type group, in which three patients in total were younger than 15 yearsold. Biliary drainage procedures were performed on 11 patients with successful results. In conclusion, the AJPBD duct, is closely related to biliary and pancreatic diseases, hence, it is suggested that such a pathologic condition should be called a common channel syndrome.
出处
《江苏医药》
CAS
CSCD
1994年第8期414-416,共3页
Jiangsu Medical Journal
关键词
畸形
胆道疾病
胰腺疾病
X线摄影
Pancreatic duct Biliary tract Malformation Biliary tract disease Pancreatic disease Radiography
