论文部分内容阅读
本文通过对１７年间行“Ｔ”管造影的１６８７例患者的系统性回顾分析，发现有２７６例患者胰管同时显影，其中６９例具有胰腺炎病史，达２５％，而无胰管显影的１０２９例患者中有１３３例具有胰腺炎病史，达１２．９％，二者间具有显著性差异。在胰管显影的病例中，发生过胰腺炎的患者其胆胰汇合角度显著高于未发生过胰腺炎患者的胆胰汇合角度（ Ｐ＜０． ００１）。作者认为：“Ｔ”管造影发生胰管同时显影的病例可能与空腹隔膜功能缺陷有关，特别是在一些因素作用下，如多种情况造成的胆总管末端梗阻时，胆汁更易这流入胰管内，造成胰腺炎。而胆胰管汇合角度大则可能是造成壶腹隔膜缺陷的重要原因。
In this systematic review of 1687 patients undergoing T-tube angiography over a 17-year period, we found that 276 patients had simultaneous pancreatic duct imaging, of which 69 had a history of pancreatitis of up to 25% and 1029 without pancreatic duct imaging 133 cases of patients with pancreatitis history, up to 12.9%, there was a significant difference between the two. In the case of pancreatic duct development, the biliary-pancreatic confluence angle was significantly higher in patients with pancreatitis than in those without pancreatitis (P <0.001). The author believes that: “T” tube angiography occurred pancreatic duct at the same time the development of cases may be related to defects in fasting diaphragm, especially in some factors, such as multiple cases of common bile duct obstruction, the bile more likely to flow into the pancreatic duct, Cause pancreatitis. The convergence of bile duct and pancreatic ducts may be caused by an important reason for defects in the diaphragm.