[经内镜逆行胰胆管造影（ERCP）发现的胆囊管异常及其临床意义]

[Cystic duct anomalies found by ERCP and their clinical implications].

作者信息

Zhou Y B

机构信息

First Affiliated Hospital, Third Military Medical University, Chongqing.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Jun;28(6):328-30, 380.

PMID:2096053

Abstract

The site of confluence of cystic duct (CD) and common bile duct (CBD) was surveyed by ERCP in 1100 cases. Abnormal confluence was found in 65 (5.9%). There were three types of variations: (1) Low-sited confluence in 54/65 (83%), in which the length of CBD was significantly shorter than that of common hepatic duct (CHD). (2) Very low-sited confluence in 9/65 (13.8%), in which CD joined CBD at the level of CBD sphincter (3) High-sited confluence in 2/65 (3.2%), in which CD joined right hepatic duct or the beginning of CHD. The clinical implications of these anatomical variations are discussed.

摘要

通过内镜逆行胰胆管造影术（ERCP）对1100例患者的胆囊管（CD）与胆总管（CBD）汇合部位进行了检查。发现65例（5.9%）存在异常汇合情况。有三种变异类型：（1）低位汇合54/65例（83%），其中胆总管长度明显短于肝总管（CHD）。（2）极低位汇合9/65例（13.8%），其中胆囊管在胆总管括约肌水平汇入胆总管。（3）高位汇合2/65例（3.2%），其中胆囊管汇入右肝管或肝总管起始部。文中讨论了这些解剖变异的临床意义。