摘要
胆胰管汇合部是指胆总管末端、主胰管开口及十二指肠乳头之间的区域。该部位的疾病会引起胆胰流出道梗阻, 出现胆汁、胰液淤积或胰胆反流, 诱发胆结石、胆管炎、胰腺炎等疾病。内镜下括约肌切开是治疗胆胰疾病的重要方式, 需要根据Oddi括约肌的解剖来确定切开的部位及长度, 在解除胆胰流出道梗阻及胰胆反流的同时, 避免肠胆反流的发生。
The confluence of pancreaticobiliary ducts refers to the area between the end of common bile duct,the opening of main pancreatic duct and duodenal papilla.Those confluence diseases of pancreaticobiliary ducts will cause obstruction of biliary and pancreatic outflow tract,cholestasis,pancreatic juice deposition or pancreaticobiliary reflux,and thus induce gallstones,cholangitis,pancreatitis and other diseases.Endoscopic ampullary sphincterotomy is an important way to treat biliary and pancreatic diseases,but the length of incision is determined by the anatomy of Oddi sphincter.The endoscopic approach aims to relieve biliary and pancreatic outflow tract obstruction and pancreatic biliary reflux,and avoid enterobiliary reflux.
作者
张诚
杨玉龙
Zhang Cheng;Yang Yulong(Cholelithiasis Center,Tongji University Affiliated Shanghai East Hospital,Shanghai 200120,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2022年第18期1326-1329,共4页
National Medical Journal of China
基金
浦东新区临床特色学科基金(PWYts2021-06)。
关键词
胆胰管汇合异常
胰胆反流
内镜下乳头括约肌切开术
内镜下胆胰分流术
Confluence disease of pancreaticobiliary ducts
Pancreaticobiliary reflux
Endoscopic sphincterotomy
Endoscopic pancreaticobiliary separation
