论文部分内容阅读
目的：探讨青少年胰胆管畸形的ＥＲＣＰ表现特点及其与胰胆系病变的关系。方法：应用Ｘ线电视录像和多轴位透视、摄片等技术研究２９例异常胰胆管连接（ＡＰＢＤＵ），８例胰腺分裂（ＰＤ）和３１例胆囊管低位汇入（ＬＯＣＤ）患儿的ＥＲＣＰ表现特点及其伴发疾病情况，并与５０例正常胰胆管连接者（对照组）比较。结果：①ＡＰＢＤＵ组胆管炎、胆管囊肿、慢性胰腺炎的发生率明显高于对照组（Ｐ＜０．０５）。ＡＰＢＤＵ组合并慢性胰腺炎的患儿以胰管增粗、迂曲等改变为主，而对照组主要表现为胰头变硬或增大等。②ＰＤ组慢性胰腺炎的发生率显著增高（Ｐ＜０．０１）。③ＬＯＣＤ组慢性胰腺炎和胆系结石的发生率显著增高。结论：ＥＲＣＰ是诊断胰胆管畸形的有效手段，胰胆管畸形与多种胰胆系病变存在病因学联系。
Objective: To investigate the characteristics of ERCP in juvenile patients with pancreaticobiliary duct malformations and its relationship with pancreatic and gallbladder diseases. Methods: The clinical data of 29 cases of abnormal pancreaticobiliary ductal connection (APBDU), 8 cases of pancreatic split (PD) and 31 cases of low cystic ductal locus infiltration (LOCD) were analyzed by X-ray video and multi-axial fluoroscopy. Performance characteristics and its associated disease, and with 50 cases of normal pancreaticobiliary junction (control group) comparison. Results: ①The incidence of cholangitis, bile duct cyst and chronic pancreatitis in APBDU group was significantly higher than that in control group (P <0.05). APBDU combined with chronic pancreatitis in children with pancreatic duct thickening, tortuous changes, while the control group mainly for the head of the head stiffen or increase. ② The incidence of chronic pancreatitis in PD group was significantly higher (P <0.01). ③LOCD group of chronic pancreatitis and gallstone incidence was significantly higher. Conclusion: ERCP is an effective method to diagnose pancreaticobiliary ductal malformations. There is an etiological relationship between pancreaticobiliary ductal malformations and many pancreaticobiliary diseases.