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自1969年以来,许多作者指出胆总管胰管的异常汇合可能是先天性胆管扩张和胆管癌的病原或致病因素。10年来作者有14例胆囊癌伴有胆总管胰管的汇合异常,现结合文献分析其临床现象、治疗方法、预后和组织学所见。作者提出诊断此种异常的三个标准,附合二项者即可诊断:①在直接胆管造影片中胆总管与胰管在Boyden括约肌形成的切迹以上汇合者;②直接胆管造影片中共同通道的长度在1.5 cm或以上者;③胆汁淀粉酶测定在1000 IU或以上者。
Since 1969, many authors have suggested that the abnormal convergence of the common bile duct pancreas may be the causative or pathogenic factor for congenital dilated bile ducts and cholangiocarcinoma. In 14 years, the authors had 14 cases of gallbladder carcinoma with conjunctival abnormalities of the common bile duct pancreatic ducts. The clinical phenomena, treatment methods, prognosis, and histology of the gallbladder carcinoma were combined with literature analysis. The authors propose three criteria for diagnosing this type of abnormality, which can be diagnosed by binomial : 1 In the direct cholangiogram, the common bile duct and pancreatic duct converge above the notch formed by the Boyden sphincter; 2 Common in the direct cholangiogram The length of the channel is 1.5 cm or more; 3 The bile amylase is measured at 1000 IU or more.