Yu Ze-Li, Zhang Li-Jun, Fu Jian-Zhu, Li Jie, Zhang Qing-Yu, Chen Fou-Lai
Department of General Surgery, Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730, China.
Hepatobiliary Pancreat Dis Int. 2004 Feb;3(1):136-9.
Anomalous pancreaticobiliary junction is often associated with biliary tract carcinoma and acute pancreatitis. We assessed the value of image analysis in the diagnosis of patients with anomalous pancreaticobiliary junction (APBJ) and the principles for the treatment of APBJ.
Sixty-four patients with APBJ were subjected to ultrasound imaging, endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) before surgery. The diagnostic accuracy of image analysis and their surgical outcomes were evaluated retrospectively.
On ERCP and MRCP, the length of the common channel was calculated to be 15 mm or longer in all patients, and the angle of the junction was more than 75 degree in 49 (76.6%) of the 64 patients. Of the 64 patients, 28 were defined of pancreatic duct type (P-C) (28/64, 43.75%), 32 bile duct type (C-P) (32/64, 50%), and 4 common channel type (4/64, 6.25%).
Patients with APBJ are often associated with biliary tract and pancreatic diseases, and early detection and correct surgical treatment could avoid serious complications. ERCP and MRCP are accurate in the diagnosis of APBJ.
胰胆管合流异常常与胆道癌和急性胰腺炎相关。我们评估了影像分析在胰胆管合流异常（APBJ）患者诊断中的价值以及APBJ的治疗原则。
64例APBJ患者在手术前接受了超声成像、内镜逆行胰胆管造影（ERCP）和磁共振胰胆管造影（MRCP）检查。回顾性评估影像分析的诊断准确性及其手术结果。
在ERCP和MRCP检查中，所有患者的共同通道长度经计算均为15毫米或更长，64例患者中有49例（76.6%）的汇合角大于75度。64例患者中，28例为胰管型（P-C）（28/64，43.75%），32例为胆管型（C-P）（32/64，50%），4例为共同通道型（4/64，6.25%）。
APBJ患者常伴有胆道和胰腺疾病，早期发现并进行正确的手术治疗可避免严重并发症。ERCP和MRCP对APBJ的诊断准确。
