Deenitchin G P, Yoshida J, Chijiiwa K, Tanaka M
Department of Surgery 1, Kyushu University Faculty of Medicine, Fukuoka, Japan.
HPB Surg. 1998;11(1):33-7. doi: 10.1155/1998/25781.
The relationship between complex cystic ducts and cholelithiasis has seldom been investigated quantitatively. Thus we attempted a retrospective survey on two case series with and without cholelithiasis in a university hospital. A total of 500 patients who underwent endoscopic retrograde cholangiography were reviewed, 250 of whom had cholelithiasis and another 250 no gallstones. They were sampled at random during the period from 1979 through 1993. Parameters including the length, inner diameter and configuration of the cystic duct, and the angle formed by the cystic duct, and the axis of the gallbladder were compared between the groups with or without cholelithiasis. The patients with gallstones has significantly (p < 0.001) longer and narrower cystic ducts (a mean of 48 mm and 4 mm in length and diameter, respectively) than did those without stones (a mean of 28 mm and 7 mm, respectively). Moreover, patients with gallstones showed a significantly (p < 0.001) more acute angle between the gallbladder and the cystic duct than those without (a mean angle of 84 degrees and 119 degrees respectively). The overall frequency of the disfigurements of the cystic duct was significantly higher in the group with gallstones (99%) than in the group without (29%). The results therefore suggested that complex cystic ducts are associated with cholelithiasis.
复杂胆囊管与胆石症之间的关系鲜有定量研究。因此，我们在一所大学医院对两个有或无胆石症的病例系列进行了回顾性调查。共回顾了500例行内镜逆行胆管造影的患者，其中250例有胆石症，另外250例无胆结石。这些患者是在1979年至1993年期间随机抽取的。比较了有或无胆石症组之间胆囊管的长度、内径和形态等参数，以及胆囊管与胆囊轴线形成的角度。有胆结石的患者胆囊管明显（p < 0.001）更长且更窄（长度和直径的平均值分别为48毫米和4毫米），而无结石的患者分别为28毫米和7毫米。此外，有胆结石的患者胆囊与胆囊管之间的角度明显（p < 0.001）比无结石的患者更锐（平均角度分别为84度和119度）。胆囊管形态异常的总体发生率在有胆结石组（99%）明显高于无胆结石组（29%）。因此，结果表明复杂胆囊管与胆石症有关。
