摘要
为研究胆管十二指肠乳头部的Ｘ线解剖与胆囊切除后胆源性腹痛发生间的关系，回顾性研究胆囊切除后胆源性腹痛连续ＥＲＣＰ检查７６例。术前病变为胆囊结石、慢性胆囊炎，胆管胰腺未发现病变。胆囊切除后病变为胆管扩张，胆管继发结石，Ｏｄｄｉ括约肌无器质性病变。采取测量胆管远端生理狭窄段的长度，胰胆管共同管道长度以及胰胆管汇入十二指肠的类型的方法进行分析。胆囊切除后胆源性腹痛７６例中，胆管ＮＤＳ长度≥１０ｍｍ６８例（８９．５％），胆管扩张４４例中ＮＤＳ长度≥１０ｍｍｍ３８例（８６．４％），胆管继发结石１６例中ＮＤＳ长度≥１０ｍｍ１３例（８１．３％）。胆管继发病变与胰胆管共同管道长度以及胰胆管汇入十二指肠的类型无明显关系。结论：胆管ＮＤＳ长度≥１０ｍｍ是胆囊切除后容易诱发胆源性腹痛的重要解剖学基础。
With ERCP the length of narrowed distal segment(NDS) of common bile duct were measured,the types of pancreaticobiliary ductal union recorded in 76 cholecystectomized patients to investigate their relations with biliary pain after cholecystectomy.Results showed that the incidence of biliary pain was 68/76(895%)with biliary NDS longer than 10mm,55/60(917%) with suspected dysfunction of sphincter of Oddi,38/44(864%)with common bile duct distention ,and 13/16(813%)with secondary choledocholithiasis.It was summed that close connections existed between longer biliary NDS,dysfunction of SO,ductal stones and postcholecystectomic pain.
出处
《中华消化内镜杂志》
1998年第1期15-18,I000,共5页
Chinese Journal of Digestive Endoscopy
