内镜逆行胰胆管造影诊断胆囊管狭长弯曲与外科治疗

ERCP for narrow－ winding cystic duct and surgical treatment

目的 探讨内镜逆行胰胆管造影 (ERCP)诊断胆囊管狭长弯曲和外科治疗效果。方法 随访分析 17例患者的主要临床表现、病因、诊断方法和手术疗效。 17例患者术前均行内镜逆行胰胆管造影检查，术中行胆道造影检查， 手术方式为胆囊切除术。结果 经 2～ 5年的随访，效果满意。结论 胆囊管狭长弯曲是临床并不少见的胆道疾病， ERCP可提高检出率，行胆囊切除术疗效好。

Objective The value of endoscopic retrograde choledocho－ pancreatography( ERCP ) to detect narrow－ winding cystic duct and the effect of surgery were studied .Methods The clinical presentations, pathogenesis, diagnostic procedures and outcome of surgery were collected and analysed in 17 patients with this change. All had preoperative ERCP as well as intraoperative cholangiography. The operation was simple cholecystectomy. Results Satisfaction was obtained througthout the followup period for 2～ 5 years . Conclusion Narrow－ winding cystic duct is not a rare biliary disorder with high rate of confirmation by ERCP and fine result following cholecystectomy.