摘要
胆胰肠结合部是一个特殊的解剖部位,是胆汁、胰液、胃肠液汇聚的枢纽节点,调控着胆汁、胰液向肠道的排放,如同自然界的三江并流.狭义的胆胰肠结合部指胆胰肠三管汇合的部位,即解剖学上的乏特氏壶腹部或乳头部;广义的胆胰肠结合部是指胰头、胆总管第3、4段、十二指肠第2、3段及胰头周围软组织形成的一个区域.虽然该区域较狭小,但其疾病谱几乎涵盖了先天畸形、炎症、结石、肿瘤、损伤和功能障碍等疾病.对于胆胰肠结合部生理调控和疾病发生机制的认识至今仍不足,许多疾病诊断和治疗还缺乏规范与共识.因此,深入研究胆胰肠结合部疾病的特点,重视其诊断和治疗的特殊性尤为必要.
Biliary-pancreatic-duodenal junction is aspecial region in the human body. It is difficult to diagnose and treat diseases in this region because of the complicated anatomy, the limitation of diagnosing methods, the variety of disease, the high risks of operation and the severity of complications. We should pay more attention to the pathophysiology aspects and the laboratory researches of diseases in this region. Proper diagnosis and combination of different diagnosing methods could improve the rate of early diagnosis and identify the characteristics of the disease. Individualized operation should be considered to deal with iatrogenic injury of biliary-pancreatic-duodenal junction according to different patients＇ condition. The principle of operation is to control damage firstly and to preserve the function of biliary-pancreatic-duodenal junction and the physiological passway of bile and pancreatic juice to the greatest extent.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2012年第5期419-421,共3页
Chinese Journal of Digestive Surgery
关键词
胆胰肠结合部疾病
ODDI括约肌
诊断
损伤
Biliary-pancreatic-duodenal junction
Sphinctger of Oddi
Diagnosis
Injury
