胰胆管合流异常影像学诊断和外科治疗原则探讨

Diagnosis and principle of treatment for Anomalous pancreaticobiliary junction

目的 分析胰胆管合流异常的影像学诊断特点,探讨如何选择合理的手术治疗。方法回顾性分析64例胰胆管合流异常症患者的影像学特点和治疗结果。结果 64例患者的胰胆管共同通道平均长度是(19.0±0.6)mm。胰管型患者28例(占43.8％),胆管型32例(占50％),共同通道型4例(占6.2％)。对胆肠囊状扩张患者行囊肿切除术,加胆肠吻合术;胆道结石患者行胆囊切除术;对晚期肿瘤行保守治疗,其余肿瘤患者行根治术。结论 胰胆管合流异常同许多胆道、胰腺疾病的发生有密切关系。在临床工作中早发现该症患者,给予合理的手术治疗可避免严重合并症的发生。

Objective The aim of this study was to exam by image for APBJ, and to further establish the principles in the treatment of APBJ. Methods From December 1979 to October 2001, 64 adult patients with APBJ underwent surgical treatment in our hospital . Cholangiopancreatographic results and surgical treatment outcomes of these patients were reviewed and analyzed. Results Of the total 64 patients 28, 32 and 4 were typed as P - C(43. 8% ) ,C - P(50% ) and Common Channel(6. 2% ) distinctively. Conclusions Patients with APBJ are often associated with biliary tract and pancreatic diseases, early discovery and appropriate surgical treatment could avoid most of the serious complications.