先天性胆管扩张症中肝胰壶腹乳头异位远端位置：对发病机制的影响

Ectopic distal location of the papilla of vater in congenital biliary dilatation: Implications for pathogenesis.

作者信息

Li L, Yamataka A, Yian-Xia W, Da-Yong W, Segawa O, Lane G J, Kun W, Jin-Zhe Z, Miyano T

机构信息

Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.

出版信息

J Pediatr Surg. 2001 Nov;36(11):1617-22. doi: 10.1053/jpsu.2001.27932.

DOI:10.1053/jpsu.2001.27932

PMID:11685686

Abstract

BACKGROUND/PURPOSE: This study investigates the relationship between the location of the papilla of Vater and the length of the common channel in patients with congenital biliary dilatation (CBD).

METHODS

Cholangiograms from 121 CBD patients and 13 normal controls were the subjects for this study. A length index defined as the length of the common channel divided by the height of the second lumbar vertebra was used for standardization.

RESULTS

In the controls, the papilla of Vater was located in the middle of the descending or second part of the duodenum in all cases. In 39 (32.2%) of the 121 CBD patients papilla of Vater was located in the descending duodenum (group I), and in 82 (67.8%) it was distal to the descending duodenum (group II). The average length index of the common channel in group II was significantly longer than in group I (1.123 +/- 0.374 v 0.660 +/- 0.246; P <.001). Findings for the common bile duct were similar.

CONCLUSIONS

There is a significantly higher incidence of ectopic distal location of the papilla of Vater in CBD patients than in controls. The more distal the location of the papilla of Vater, the longer the common bile duct and the common channel.

摘要

背景/目的：本研究调查先天性胆管扩张症（CBD）患者中 Vater 乳头位置与共同管长度之间的关系。

方法

本研究以 121 例 CBD 患者和 13 例正常对照者的胆管造影为研究对象。使用共同管长度除以第二腰椎高度定义的长度指数进行标准化。

结果

在对照组中，所有病例的 Vater 乳头均位于十二指肠降部或第二部的中部。在 121 例 CBD 患者中，39 例（32.2%）的 Vater 乳头位于十二指肠降部（I 组），82 例（67.8%）位于十二指肠降部远端（II 组）。II 组共同管的平均长度指数显著长于 I 组（1.123±0.374 对 0.660±0.246；P<.001）。胆总管的结果相似。