胆囊管低汇流的ERCP诊断及临床价值

Diagnosis of low junction of cystic duct by ERCP and its clinical significance

目的加深对胆囊管低汇流的认识,提高对临床的指导意义。方法回顾我院 ERCP检查中132例胆囊管低汇流病例,将其分为两型,并分析了胆囊管汇入胆总管的方向,胆囊管长度、内径及弯曲数目等。结果全部病人中,Ⅰ型42例,Ⅱ型90例。胆囊管过长116例,胆囊管增宽99例,胆囊管出现弯曲72例。结论胆囊管低汇流增加了胆囊结石及胆囊炎的发生率,增加了胆囊切除术特别是腹腔镜胆囊切除术的复杂性及手术并发症的发生率。

Objective To deeply understand the low junction of the cystic duct to guide clinical practice. Methods The clinical data of 132 patients with low junction of the cystic duct diagnosed by ERCP in our hospital were retrospectively analyzed. The low junction was divided into 2 types. The direction of the cystic duct inserting into the common bile duct and the length, diameter and number of arcuation of the cystic duct were also determined. Results Forty-two patients had the low junction of type 1 and 90 had that of type 2. The cystic duct was long in 116 patients and wide in 99. Meanwhile, it had arcuation in 72 patients, Conclusions The low junction of the cystic duct can cause high incidence of cholelithiasis and cholecystitis. Moreover, it can make cholecysteetomy and laparoscopic cholecystectomy more difficult and increase the incidence of postoperative complications,