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该文回顾分析1996年9月~1997年11月106例ERCP资料中共检出的胆结石48例,非结石58例,其中检出十二指肠憩室21例。该文对十二指肠憩室在胆结石发病中的作用进行探讨。结果48例胆结石中14例合并十二指肠憩室(29.17%),非结石组58例中,7例合并十二指肠憩室(12.07%)。胆结石合并憩室的发生率显著增高(P<0.05)。乳头旁憩室胆结石发生率(92.9%)显著高于周围型憩室(14.3%)(P<0.025)。原发性胆总管结石和继发性胆总管结石者合并憩室的发生率均高于胆囊结石。结果提示:胆结石者与十二指肠憩室密切相关,认为ERCR是诊断十二指肠憩室较为理想而可靠的方法
In this paper, we retrospectively analyzed 48 cases of gallstones detected in 106 cases of ERCP from September 1996 to November 1997, 58 cases of non-calculi, including 21 cases of duodenal diverticulum. This article discusses the role of duodenal diverticulum in the pathogenesis of gallstones. Results Of 48 cases of gallstones, 14 cases were associated with duodenal diverticulum (29.17%). Among 58 cases of non-calculus, 7 cases were associated with duodenal diverticulum (12.07%). The incidence of gallstones combined diverticulum was significantly higher (P <0.05). The incidence of parathyroid diverticulum gallbladder (92.9%) was significantly higher than that of peripheral diverticula (14.3%) (P <0.025). Primary choledocholithiasis and secondary choledocholithiasis with diverticulum incidence were higher than gallstone. The results suggest that: gallstone and duodenal diverticulum are closely related, that ERCR is the diagnosis of duodenal diverticulum is an ideal and reliable method