目的探讨采用 ERCP 检查诊断胆囊管不全性梗阻和手术治疗效果。方法回顾46例非结石性反复胆绞痛病人经 ERCP 检查,以影像学显示胆囊管迂曲狭长或造影后胆囊排空迟缓为依据,诊断胆囊管不全性梗阻,均行胆囊切除术。结果经1～16年的随访,仅4例无效,其余病例疗效满意。结论 ERCP 检查是诊断胆囊管不全性梗阻的重要方法,施行胆囊切除术效果好。 Objective To investigate the use of ERCP in the diagnosis of incomplete cystic duct obstruction and surgical treatment. Methods A retrospective review of 46 patients with recurrent non-biliary persistent biliary colitis by ERCP examination, imaging of the cystic duct tortuous long or slow after the contrast-induced gallbladder emptying, diagnosis of cystic duct obstruction, cholecystectomy. Results After 1 to 16 years of follow-up, only 4 cases were ineffective, and the remaining cases were satisfactory. Conclusion ERCP is an important method to diagnose cystic duct obstruction. Cholecystectomy is effective.