ERCP对胰腺分裂的诊断价值

THE DIAGNOSTIC VALUE OF ERCP FOR PANCREAS DIVISUM

本文报告６例胰腺分裂，占同期ＥＲＣＰ的０．６％，６例均有腹痛，２例有慢性胰腺炎病史。ＥＲＣＰ所见：主胰管长度１．５～３．５ｃｍ，平均２．２５ｃｍ，其末端呈细树枝样。用针状导管从副乳头插管５例，显影４例，副胰管长度８．５～１３．５ｃｍ，平均１１．６ｃｍ，１例副乳头开口部有狭窄，其副胰管头部见－６ｍｍ×４ｍｍ囊性扩张，４例主副胰管间均无汇合交通支。本组１例经用气囊行副乳头扩约肌扩张成形术治疗，术后腹痛明显减轻。

This papr reported six cases of pancreas divisum diagnosed by ERCP from 1993 to 1995 in our hospital,which accounts for 0. 6% of the patients examined by ERCP during the same period. All the patients complained of abdominal pain and two had chronic pancreatitis history. ERCP finding: The main duct averaged 2. 25cm in length (ranging from 1. 5￣3. 5cm)with arborization-like ends. Four of the 5 cases through the minor papilla cannulation with needle type cannula were successful. The average length of minor ducts were 11. 6cm(8. 5 ￣13. 5cm) . One case exhibited stenosis in the opening of minor papilla and cystic dilation at the head of minor duct.No traffic branch was seen between the main duct and the minor duct. Abdominal pain in one case with stenosis of minor papilla was relieved through dilation of minor papilla by balloon.