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