使用内镜逆行胰胆管造影术分析影响胆总管和胰管直径的因素。

Factors affecting the diameters of the common bile duct and pancreatic duct using endoscopic retrograde cholangiopancreatography.

作者信息

Neoptolemos J P, Carr-Locke D L, Kelly K A

机构信息

Department of Surgery, Leicester Royal Infirmary, U.K.

出版信息

Hepatogastroenterology. 1991 Jun;38(3):243-7.

DOI:

PMID:1937364

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) findings in 405 patients were analyzed to compare common bile duct (CBD) and main pancreatic duct (PD) diameters in relation to age, sex, gallbladder stones, CBD stones and acute pancreatitis. There were 129 patients with gallstones uncomplicated by pancreatitis, 131 patients with pancreatitis, and 145 control subjects. Significant correlations were found between CBD and PD diameters, and between these and age. Independently significant determinants of the CBD diameter were age, female, sex, CBD stones and gallbladder stones, as well as PD diameter. Conversely, PD diameter was significantly dependent upon age, CBD diameter, and acute pancreatitis. This study suggests that both CBD and PD dilation occurs in patients with gallstone disease. In view of the different factors which affect CBD and PD diameters (particularly age), important clinical decisions previously recommended on the basis of these duct diameters may need to be qualified.

摘要

分析了405例患者的内镜逆行胰胆管造影（ERCP）结果，以比较胆总管（CBD）和主胰管（PD）直径与年龄、性别、胆囊结石、CBD结石及急性胰腺炎之间的关系。其中有129例无胰腺炎并发症的胆结石患者、131例胰腺炎患者及145例对照者。发现CBD与PD直径之间以及它们与年龄之间存在显著相关性。CBD直径的独立显著决定因素为年龄、女性性别、CBD结石、胆囊结石以及PD直径。相反，PD直径显著取决于年龄、CBD直径及急性胰腺炎。本研究提示，胆结石病患者中CBD和PD均会出现扩张。鉴于影响CBD和PD直径的因素不同（尤其是年龄），先前基于这些导管直径所推荐的重要临床决策可能需要加以限定。