Nette L
Leber Magen Darm. 1976;6(1):15-8.
In 108 cases a postmortal pancreatography followed by histological examination was performed. The size of the pancreas could be measured on X-ray films after complete acinar filling. In normal cases organ size was proportional to the diameter of the duct, the diameter ranging between 2 and 4 mm (average 3,7 mm). In subjects with chronic pancreatitis, the diameter varied from 4 to 8 mm (average 5.7 mm). From these results it could be concluded, that the S/D-quotient (pancreatic surface seen on X-ray in cm2 divided by the greatest diameter of the main duct in mm) might be an aid in establishing the diagnosis of chronic pancreatitis in doubtful cases. In chronic pancreatitis the width of the duct generally increases while the size of the organ decreases due to scar formation, thereby clearly reducing the S/D-quotient. The average quotient of our normal cases was 24,2 and that for cases of chronic pancreatitis was 12,0.
对108例患者进行了死后胰腺造影，随后进行组织学检查。在腺泡完全充盈后，可在X线片上测量胰腺大小。在正常情况下，器官大小与导管直径成正比，导管直径在2至4毫米之间（平均3.7毫米）。在慢性胰腺炎患者中，导管直径在4至8毫米之间（平均5.7毫米）。从这些结果可以得出结论，S/D商（X线显示的胰腺表面积平方厘米数除以主胰管最大直径毫米数）可能有助于在疑难病例中诊断慢性胰腺炎。在慢性胰腺炎中，由于瘢痕形成，导管宽度通常增加而器官大小减小，从而明显降低S/D商。我们正常病例的平均商为24.2，慢性胰腺炎病例的平均商为12.0。
