十二指肠乳头旁憩室与胆胰疾病关系的临床研究

Relationship between Periampullary Diverticula and Pancreaticobiliary Disease

目的:探讨十二指肠乳头旁憩室(PAD)与胆胰疾病的关系。方法:通过回顾性研究,分析我院494例行ERCP及上消化道造影检查发现PAD的状况,观察PAD的检出率及PAD与胆系结石、胰腺炎的关系。结果:494例共检出PAD103例,检出率为20.9%;PAD合并胆系结石78例,发生率为75.7%,明显高于非PAD病例的44.3%(173/391);PAD合并胰腺炎14例,发生率为13.6%,明显高于非PAD病例的5.4%(21/391);PAD组的平均年龄为(65.2±11.6)岁,明显高于非PAD组的(53.3±15.8)岁,而且PAD的检出率随着年龄的增长而明显升高。PAD的检出率与性别无明显关系。结论:PAD与胆胰疾病的发生有着密切关系。PAD的检出率随着年龄的增长而增长。

Objective To study the relationship of Periampullary Diverticula （PAD） and pancreaticobiliary diseases. Methods 494 cases undergoing ERCP and upper gastrointestinal radiography were retrospectively analyzed to find out the relationship between PAD and pancreaticobiliary diseases. Results The incidence of PAD was 20.9% in all patients,75.7% of PAD patients were found to be complicated with choledocholithiasis, which is higher than that of non-PAD cases （44.3%）;13.6% of PAD patients were found to be complicated with pancreatitis, which is higher than that of non-PAD cases （5.4%）. The everage ages of PAD is （65.2±11.6） years old, which is higher than that of non-PAD cases （53.3±15.8）.The incidences of PAD has no relationship with sexuality. Conclusion PAD has relationship with pancreaticobiliary disease obviously. Incidence of PAD grows with age.