摘要
目的 :分析与胆胰管汇合异常 (APBJ)相关的胆、胰疾病临床特点及胰腺疾病的发病因素 ,最终建立该疾病的最佳诊疗方案。方法 :回顾分析 1992～ 2 0 0 0年间对 196 5例患者行ERCP检查 ,APBJ患者 6 2例 ,发生率为 3.1%。结果 :APBJ患者中有 33.8%发生急性胰腺炎 ,其中 3%～ 4 %的患者为慢性胰腺炎。另外 ,APBJ患者中 31%有异常胰造影 ,有异常造影者比正常者易患急性胰腺炎。结论 :APBJ患者易发生急性胰腺炎 ,采取必要的外科治疗可减少胰腺炎的危险。对APBJ与慢性胰腺炎、胰腺癌、胆管癌间的关系应予重视。
Objective:To study the cause for pancreaticobiliary disease with anomalous pancreaticobiliary junction on clinical features to found the most treament for the disease.Methods: A retrospective analysis was made on 1965 patients by endoscopic retrograde cholangiopancreatography (ERCP) from 1992 to 2000,62 cases were anomalous pancreaticobiliary junction (APBJ) of 3.1%.Results:33.8 % cases of anomalous pancreaticobiliary junction were acute pancreatitis ,3%～4% cases were chronic pancreatitis .31% cases of anomalous pancreaticobiliary junction were anomalous pancreatitis cholangiography ,the anomalous were acute pancreatitis than normal.Conclusion:The cases of anomalous pancreaticobiliary junction easy were acute pancreatitis, need treatment of surgery to reduce perils of pancreatitis .Pay attention to respecting that anomalous pancreaticobiliary junction with chronic pancreatitis or pancreas carcinoma or cholangiocarcinoma.
出处
《中国内镜杂志》
CSCD
2002年第9期30-32,共3页
China Journal of Endoscopy
关键词
胆胰管汇合异常
临床分析
胰腺炎
胆管囊肿
Anomalous Pancreaticobiliary Junction
Pancreatitis
Choledochocele
