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目的:探讨胰胆管合流异常(AJPBD)的术后胆道造影表现。方法:通过胆道造影及其X片,观察主胰管是否显影、显影的主胰管与胆总管的汇合部位及与十二指肠的关系,以及主胰管的显影方式。结果:229例胆道造影中,108例(47.2%)显示主胰管,其中45例(19.7%)显示胆总管与主胰管在十二指肠壁外汇合,诊断为AJPBD;主胰管的显影方式有推注充填型、间歇充填型及连续充填型。结论:术后胆道造影时主胰管显影,提示胆胰管抗返流功能异常;若观察到胆总管与主胰管在十二指肠壁外汇合,则诊断AJPBD。
Objective: To investigate the postoperative cholangiography of pancreaticobiliary duct anomalies (AJPBD). Methods: By cholangiography and X-ray, observe whether the main pancreatic duct is developed, the main pancreatic duct and common bile duct of the junction and the relationship with the duodenum and the development of the main pancreatic duct. Results: In 229 cases of cholangiography, 108 cases (47.2%) showed the main pancreatic duct, of which 45 cases (19.7%) showed the common bile duct and the main pancreatic duct outside the duodenal wall confluence, diagnosed as AJPBD; Development of a push-type filling, intermittent filling type and continuous filling type. Conclusion: The main pancreatic duct is developed after cholangiography, which indicates the anti-reflux function of the common bile duct and pancreatic duct. AJPBD is diagnosed if the common bile duct and the main pancreatic duct are confluent outside the duodenum wall.