胆胰汇合部异常与胆源性慢性胰腺炎的关系

Relationship between anomalous pancreaticobiliary ductal junction and biliogenic chronic pancreatitis

目的探讨胆胰管合流异常(APBDJ)在胆源性慢性胰腺炎(BCP)中的发生率及相关性。方法回顾性分析自2000年1月至2012年1月间我院临床确诊MRCP、ERCP以及T管造影显示胆胰管共同显影的患者1 373例临床资料。结果本组共发现47例BCP患者,其中17例发现有APBDJ,共同通道的平均长度(19.3±7.2)mm,最长40 mm,最短11 mm。结论 APBDJ造成的胰反流可能是胆源性慢性胰腺炎的重要原因。

Objective To study the incidence rate and correlation of anomalous pancreaticobiliary ductal junction （APBDJ） for patients with biliogenic chronic pancreatitis （BCP）. Methods From January 2000 to January 2012,the data of 1 373 patients who underwent ER-CP, MRCP or T-Tube cholangiography in which both biliary and pancreatic ducts in our hospital were analyzed retrospectively. Results Bil-iogenic chronic pancreatitis was found in 47 patients, of which 17 patients with APBDJ. The mean （SD） common channel was （19.3 ± 7.2） mm in length （range 11 - 40 mm）. Conclusion APBDJ may be the important reason of BCP among Chinese patients.