期刊文献+

PTCD术中对比剂胰管逆流与共同管的关系探讨 被引量:11

Relationship between Pancreatic Duct Contrast Reflux during PTCD and the Length of Common Pancreatobiliary Channel
下载PDF
导出
摘要 目的 观察胆管造影中对比剂胰管逆流及胆胰共同管的长度 ,分析共同管长度与胰管逆流的关系。资料与方法 搜集因阻塞性黄疸行经皮肝穿胆管引流术 (PTCD)患者资料 ,观察伴有对比剂胰管逆流的阻塞性黄疸病因、胆胰共同管的长度 ,分析对比剂逆流与共同管的关系 ,与正常成年国人胆胰共同管长度的样本值作为对照。结果  39例对比剂胰管逆流的患者 ,因胆管为原发疾病引起阻塞性黄疸 30例 ,共同管平均长度 (13.5± 3.6 )mm ,因外压性病变或胆管转移癌引发阻塞性黄疸 9例 ,共同管平均长度 (5 .2± 2 .1)mm ,前者明显长于后者 (P <0 .0 1)。所有患者共同管平均长度 (11.2± 1.3)mm ,明显长于正常人 ,差异有显著性 (P <0 .0 1)。结论 胆胰共同管的长度与胆胰管逆流关系密切 。 Objective To investigate the relationship between the length of common pancreatobiliary channel and pancreatic duct contrast reflux during percutaneous transhepatic cholangiography and drainage (PTCD). Materials and Methods Thirty-nine cases who underwent PTCD for obstructive jaundice were collected. Pancreatic duct contrast reflux and the length of common pancreatobiliary channel were observed, the relationship between the two was analyzed. The length of common pancreatobiliary channel of normal Chinese adults was used for comparison. Results Of 39 patients with pancreatic reflux, the obstructive jaundice was caused by biliary disease in 30 with the average length of common duct being 13.5±3.6mm, and was caused by metastases or external pressure in 9 with the average length of common duct being 5.2±2.1mm, which was significantly shorter than that in biliary disease group (P<0.01). The average length of common duct in all patients was 11.2±1.3mm, which was significantly longer than that in normal adults (P<0.01).Conclusion The length of the common pancreatobiliary channel is closely related to pancreatic duct reflux. Anomalous junction of pancreatobiliary duct is a risk factor inducing pancreatobiliary diseases.
出处 《临床放射学杂志》 CSCD 北大核心 2004年第8期712-714,共3页 Journal of Clinical Radiology
关键词 阻塞性黄疸 胆胰共同管 胆胰管逆流 胆管造影 Obstructive jaundice Common pancreatobiliary channel Pancreatic duct reflux
  • 相关文献

参考文献7

二级参考文献12

  • 1徐克,金春元,张汉国,王鹤令,韩铭钧,赵钟春,张曦彤,王长龙.胆道内支架引流术治疗梗阻性黄疸(附12例报告)[J].中华放射学杂志,1994,28(5):295-298. 被引量:43
  • 2刘胜利,陈峰,杨小庆,杨德同.胆胰管异常汇合的诊断与治疗[J].中华外科杂志,1994,32(5):318-318. 被引量:3
  • 3田伏洲,王茂旭,王建中,罗来华,黄大熔,张丙印,胡建中.胰胆管合流异常与胰腺炎的关系(附48例报告)[J].中华外科杂志,1995,33(6):345-347. 被引量:23
  • 4冉瑞图.胆总管下部外科解剖学[J].普外临床,1986,3:200-200.
  • 5Bezzi M,Orsi F,Salvatori FM,et a1. Self-expandable nitinol stent for the management of biliary obstruction:long-term clinical results.JVIR,1994,5:287.
  • 6Tsai CC,Mo LR,Chou CY,et al. Percutaneous transhepatic transluminal forceps biopsy in obstructive jaundice. Hepatogastroenterology, 1997,44:770.
  • 7Kurzawinski T, Deery A, Davidson BR. Diagnostic value of cytology for biliary stricture. Br J Surg, 1993,80:414.
  • 8Pugliese V, Conio M, Nicolo G, et al. Endoscopic retrograde forceps biopsy and brush cytology of biliary stricture: a prospective study . Gastrointest Endosc, 1995,42:520.
  • 9Boyden EA, The anatomy of choledochoduodenal junction in man, S G O,1997,104:641-643.
  • 10Janes SA. Transduodenal sphincteroplasty for biliary and pancreatic disease:indications contraindications and results. Am J Surg,1989,l18:292-295.

共引文献40

同被引文献117

引证文献11

二级引证文献37

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部