自1969年Babb it[1]首次提出胰胆管合流异常(anom a-lous junction of the pancreaticob iliary duct,AJPBD)以来,随着解剖学、影像学的发展,发现它与许多胆道疾病和胰腺疾病,如先天性胆总管囊肿、胆石症、胆囊癌、胰腺炎等密切相关。1978年日本学者因此成立了“胰胆管合流异常 Since the first anopen-lous junction of the pancreaticob iliary duct (AJPBD) was first proposed by Babb it [1] in 1969, with the development of anatomy and imaging, it has been found to be associated with many biliary and pancreatic diseases, Such as congenital choledochal cyst, cholelithiasis, gallbladder cancer, pancreatitis and other closely related. Japanese scholars in 1978 therefore set up a "pancreaticobiliary duct anomalies