论文部分内容阅读
目的 :探讨十二指肠乳头旁憩室 (juxta - papilaryduodenaldiverticulum ,JPD)发生原因及其与胆道结石形成的关系。方法 :回顾性分析 2 0 0 2年 4～ 7月期间做逆行胰胆管造影 (ERCP)检查的 332例病例 ;比较低龄组(<6 0岁患者 )与高龄组 (≥ 6 0岁患者 )JPD及JPD合并胆道结石发生率的差别 ;比较胆道结石组与非胆道结石组合并JPD率的差别。结果 :该组JPD发生率 2 5 % (83例 ) ,JPD合并胆道结石发生率 18.1% (6 0例 ) ;低龄组与高龄组JPD发生率分别为 12 .5 % (2 1/ 16 8)和 37.8% (6 2 / 16 4 ) ,JPD合并胆道结石发生率分别为 8.9%(15 / 16 8)和 2 7.4 % (4 5 / 16 4 ) ,其差异具有显著性 ;胆道结石合并JPD发生率为 37.3% (6 0 / 16 1) ,非胆道结石合并JPD发生率为 13.5 % (2 3/ 171) ,其差异具有显著性。结论 :JPD及JPD合并胆道结石发生率与年龄有关 ;胆道结石发生率与JPD发生有关。推测JPD的发生可能是一种退行性病变 ,是胆道结石形成的原因之一。
Objective: To investigate the causes of juxta - papilaryduodenal diverticulum (JPD) and its relationship with the formation of biliary stones. Methods: Retrospective analysis of 332 cases of retrograde cholangiopancreatography (ERCP) during the period from April to July in 2002 was performed. The clinical data of JPD (age less than 60 years old) And JPD combined with the incidence of biliary stones; compare the combination of biliary calculi and non-biliary stones JPD rate difference. Results: The incidence of JPD was 25% (83 cases) and JPD was associated with bile duct stones (18.1%) (60 cases). The incidence of JPD in the younger group and the advanced age group was 12.5% (2 1/168) And 37.8% (62/164) respectively. The incidences of JPD associated with biliary calculi were 8.9% (15/168) and 2 7.4% (45/464), respectively. The difference was significant. The incidence of biliary calculi combined with JPD The rate was 37.3% (60/161). The incidence of non-biliary stones combined with JPD was 13.5% (23/171), the difference was significant. Conclusions: The incidence of biliary stones in JPD and JPD is related to age. The incidence of biliary stones is related to the occurrence of JPD. Speculated that the occurrence of JPD may be a degenerative disease, is one of the reasons for the formation of biliary stones.