摘要
作者自1980～1994年间经影像学检查完整显示胰胆管汇合处及乳头开口处共计253例,证实胰胆管合流异常28例,其中4例合并有胆囊癌,无胰胆管合流异常225例中5例合并有胆囊癌。28例中3例胆囊癌发生于正常的胆总管,l例胆囊癌发生于胆总管扩张。本文就胰胆管合流异常的概念、分型及其与胆囊癌的关系进行了讨论,并对胰胆管合流异常并发胆道疾病时的处理原则进行探讨。
Altogether 28 cases having abnormal confluence of pancreatic and bile ducts were con- firmed by imaging examination,which was carried out in 253 patients between 1980 and 1994.Among these 28 cases 4 were accompanied with gallbladder cancer.There were only 5 cases of gallbladder cancer a- mong.225 subjects with normal confluence of pancreatic and bile ducts.Among 4 cases of gallbladder cancer out of 28 patients with abnormal confluence,3 cases suffered from cancers arising from normal common bile duct,and the rest one originated from dilated common bile duct.In this paper,the concept of abnormal confluence of pancreatic and bile ducts,its typing and its relation with gallbladder cancer are discussed. Moreover,the principle of treatment of abnormal confluence of pancreatic and bile ducts with accompaning diseases of biliary tract is also inquired into.
出处
《中华肝胆外科杂志》
CAS
CSCD
1998年第1期31-33,共3页
Chinese Journal of Hepatobiliary Surgery
