胰胆管合流部解剖与急性胰腺炎关系的MRCP分析

黎冬暄, 汤礼军, 黄 竹, 邹 树, 马利红, 李永继, 向珂

中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6) : 668.

中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6) : 668.
断层影像解剖

胰胆管合流部解剖与急性胰腺炎关系的MRCP分析

  • 黎冬暄, 汤礼军, 黄 竹, 邹 树, 马利红, 李永继, 向    珂
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Pancreaticobiliary junction and acute pancreatitis: MR cholangiopancreatography analysis

  • LI Dong-xuan, TANG Li-jun, HUANG Zhu,  et al.
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摘要

目的 探讨急性胰腺炎的产生与胰胆管合流部解剖的关系。 方法 回顾分析83例急性胰腺炎患者的MRCP片,对胰胆管合流部进行测量和分析比较;以同期139例非急性胰腺炎患者的MRCP片作为对比分析。 结果 急性胰腺炎组的共同通道长度明显大于对照组(P<0.01);前者胰管与胆管汇合处角度也明显大于后者(P<0.01);两组的肝外胆管直径和胰管直径无显著差别(P>0.05)。 结论 急性胰腺炎的发生与胰胆管合流部的解剖密切相关,共同通道过长、胰胆管汇合角度过大是造成急性胰腺炎的重要因素。

Abstract

Objective To provide anatomic basis for the onset of acute pancreatitis by explore morphologic features of pancreaticobiliary junction. Methods MR cholangiopancreatography (MRCP) of 83 patients with acute pancreatitis (acute pancreatitis group, AP group) were analyzed retrospectively, and their pancreaticobiliary junctions were measured and compared. PRCP of other 139 patients with non-acute pancreatitis was analyzed in the same way as control (control group). Results For acute pancreatitis group, the length of common channel was significantly longer than that in control group (P<0.01), and the angle between common bile duct(CBD) and pancreatic duct in the former was significantly larger than that of the latter (P<0.01). However, there was no significant difference between the diameters of common bile duct or pancreatic duct in two groups (P>0.05). Conclusions Pancreaticobiliay junction plays a significant role at the onset of acute pancreatitis,meanwhile,long common channel and large angle of pancreaticobiliay ducts are important factors causing acute pancreatitis.

关键词

胰腺炎/病因学 / 磁共振成像 / 共同通道 / 胰腺管合流部异常

Key words

Acute pancreatitis/etiopathology / MR Cholangiopancreatography (MRCP) / Common channel / Anomalous junction of pancreaticobiliary duct (AJPBD)

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黎冬暄, 汤礼军, 黄 竹, 邹 树, 马利红, 李永继, 向珂. 胰胆管合流部解剖与急性胰腺炎关系的MRCP分析[J]. 中国临床解剖学杂志. 2010, 28(6): 668
LI Dong-Xuan, SHANG Li-Jun, HUANG  Zhu, JU  Shu, MA Li-Gong, LI Yong-Ji, XIANG Ke. Pancreaticobiliary junction and acute pancreatitis: MR cholangiopancreatography analysis[J]. Chinese Journal of Clinical Anatomy. 2010, 28(6): 668
中图分类号:      R657.51,R363.21   

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