摘要
目的了解该院经内镜逆行胰胆管造影(ERCP)患者中胰胆管合流异常(PBM)的检出率及临床特点。方法回顾性统计该院2006~2011年检查的9 102例ERCP患者。统计这些患者中PBM的发生情况,分析PBM的特征。结果 9 102例ERCP患者中,共诊断PBM患者47例,占ERCP患者的0.5%。47例PBM患者中,男性14例,女性33例,男∶女=1∶2.4,男性显著少于女性(P〈0.05);年龄7~77岁,平均(44.7±15.0)岁。47例患者中,5例胰管汇流入胆管(10.6%);38例胆管汇流入胰管(80.9%);4例复杂型(8.5%)。合并胆管结石16例(34%),合并胆管癌9例(19.1%),合并急性胰腺炎4例(8.5%),慢性胰腺炎2例(4.3%),胆总管囊状扩张4例(8.5%)。结论胰胆管合流异常是临床较少见的先天性解剖变异;ERCP是诊断PBM的有效方法。74.5%的PBM有合并症,其中19%合并胆管癌。
[Objective]To research the check-out rate and clinical characteristics of pancreaticobiliary maljunction(PBM) in the ERCP patients in our hospital. [Methods]We investigated 9102 cases of consecutive ERCP patients from 2006 to 2011 in our hospital, and analyzed the incidence of PBM, and its characteristics. [Results]Among 9102 cases of ERCP patients, 47 patients were diagnosed as PBM, accounting for 0.5% of the ERCP patients. Among these 47 cases, male cases were 14, female 33, and the ratio of male to female was 1∶2. 4. Male patients with PBM was significantly less than female(P 0.05). The age of the 47 cases was from 7 years old to 77 years old, with the average age of(44.7±15.0) years old. Within these 47 cases of PBM patients, there were 5 cases of pancreatic duct entering bile duct(10.6%), 38 cases of bile duct entering pancreatic duct(80.9%), 4 cases of complex type(8.5%). 16 cases combined with bile duct stone(34%), 9 cases with cholangiocarcinoma(19.1%), 4 cases with acute pancreatitis(8.5%), 2 cases with chronic pancreatitis(4.3%), and 4 cases with cystic dilatation of common bile duct(8.5%). [Conclusion]PBM is a rare congenital clinical anatomical variations, and ERCP is an effective method for the diagnosis of PBM. 74.5% of the PBM have complications, 19% of which combined with cholangiocarcinoma.
出处
《中国内镜杂志》
CSCD
北大核心
2014年第4期388-390,共3页
China Journal of Endoscopy