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目的:探讨术中造影对进一步了解胆系疾病的病理状态及术式选择价值。方法:应用术中胆系造影对28例胆系疾病进行检查。其中胆总管囊肿24例、先天性胆道闭锁2例、胆道发育不良及原发性硬化性胆管炎各1例。结果:24例胆总管囊肿均明确了诊断,有7例胆管远端显示不清,其余17例中13例(76.4%)有胰胆管合流异常(AJPBD)。2例胆道闭锁分别属Ⅰ、Ⅱ型,未见胆胰管合流异常。先天性胆道发育不良和硬化性胆管炎均有 AJPBD。结论:术中造影是一种简便易行、具有较高诊断价值的方法,不需要昂贵的设备,一般医院均可施行。
Objective: To explore intraoperative angiography to further understand the pathological state of biliary diseases and surgical options value. Methods: Cholangiography was performed in 28 cases of biliary diseases. Including 24 cases of choledochal cyst, congenital biliary atresia in 2 cases, biliary dysplasia and primary sclerosing cholangitis in 1 case. Results: Twenty-four choledochal cysts were diagnosed clearly. Seven cases showed unclear distal bile duct and 13 cases (76.4%) had pancreaticobiliary duct abnormalities (AJPBD) in the remaining 17 cases. 2 cases of biliary atresia were type Ⅰ, Ⅱ, no abnormal biliary and pancreatic duct anastomosis. AJPBD is congenital biliary dysplasia and sclerosing cholangitis. Conclusion: Intraoperative angiography is a simple, easy and feasible method with high diagnostic value. It does not require expensive equipment and can be performed in general hospitals.