摘要
目的:探讨胰胆管合流异常(AJPBD)的术后胆道造影表现。方法:通过胆道造影及其X片,观察主胰管是否显影、显影的主胰管与胆总管的汇合部位及与十二指肠的关系,以及主胰管的显影方式。结果:229例胆道造影中,108例(47.2%)显示主胰管,其中45例(19.7%)显示胆总管与主胰管在十二指肠壁外汇合,诊断为AJPBD;主胰管的显影方式有推注充填型、间歇充填型及连续充填型。结论:术后胆道造影时主胰管显影,提示胆胰管抗返流功能异常;若观察到胆总管与主胰管在十二指肠壁外汇合,则诊断AJPBD。
Objective： To research the manifestations of AJPBD on postoperative cholangiography. Methods： To observe if the main pancreatic duct （MPI）） showed on postoperative cholangiography, to observe the connecting location of the MPD and the common Bile duct （CBD） as well as its anatomical relation with the duodenum,and to observe the way in which the MPD showed. Results：108 of the 229 cases （47.2%） showed the MPD,among them 45 cases （19.7%） showed that the CBD and the MPD joined each other out of the wall of the duodenum,which indicated the diagnosis of AJPBD. The ways in which the MPDs showed included “injecting then filling mode”,“intermittently-filling mode” and “continuouslyfilling mode”. Conclusions： When the MPD shows on postoperative cholangiography,it indicates that the anti-reflux function of pancreaticobiliary duct is abnormal. When the CBD and the MPD are found to join each other out of the duodenal wall,it indicates the diagnosis of AJPBD.
出处
《放射学实践》
2005年第8期679-682,共4页
Radiologic Practice
