胰腺分裂的内镜诊断

PANCREAS DIVISUM:ENDOSCOPIC DIAGNOSIS

为了认识胰腺分裂及其临床意义，对２５００例经内镜逆行胰胆管造影（ＥＲＣＰ）检查中检出的３７例胰腺分裂患者资料进行回顾分析。３７例均经主、副乳头插管显示出腹胰管及背胰管，胆管显影１４例，显影率３７．８％。体会到胰腺分裂者ＥＲＣＰ时插胆管困难。

instances of pancreas divisum were diagnosed when a series of 2 500 endoscopic retrograde cholangiopancreatography was reviewed retrospectively, the incidence being 1.48%, The ventral and dorsal pancreatic ducts were visualized by individual cannulation through major and minor duodeual papilla with simultaneous development of bile ducts in 37.8% (n=14). It is concluded that with pancreas divisum difficulty in papilla intubation encounters frequently. Its embryology,anatomy,incidence and clinical significance were also discussed.