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目的探讨急性胰腺炎的产生与胰胆管合流部解剖的关系。方法回顾分析83例急性胰腺炎患者的MRCP片,对胰胆管合流部进行测量和分析比较;以同期139例非急性胰腺炎患者的MRCP片作为对比分析。结果急性胰腺炎组的共同通道长度明显大于对照组(P<0.01);前者胰管与胆管汇合处角度也明显大于后者(P<0.01);两组的肝外胆管直径和胰管直径无显著差别(P>0.05)。结论急性胰腺炎的发生与胰胆管合流部的解剖密切相关,共同通道过长、胰胆管汇合角度过大是造成急性胰腺炎的重要因素。
Objective To investigate the relationship between the occurrence of acute pancreatitis and the anatomy of pancreaticobiliary junction. Methods Retrospective analysis of 83 cases of acute pancreatitis in patients with MRCP slice, the measurement of pancreaticobiliary junction and analysis of comparison; 139 cases of non-acute pancreatitis in the same period MRCP tablets as a comparative analysis. Results The length of common passage in acute pancreatitis group was significantly larger than that in control group (P <0.01). The angle between the former pancreatic duct and bile ducts was also significantly greater than the latter (P <0.01). The extrahepatic bile duct diameter and pancreatic duct diameter Significant difference (P> 0.05). Conclusions The occurrence of acute pancreatitis is closely related to the anatomy of pancreaticobiliary junction, the common channel is too long, pancreaticobiliary confluence angle is an important factor in causing acute pancreatitis.