摘要
目的 探讨十二指肠憩室在胆结石发病中的作用。方法 回顾性分析我院行逆行胰胆管造影(ERCP)检查的167例患者,其中合并乳头憩室31例(憩室组),无合并乳头憩室136例(非憩室组)。分析比较两组患者年龄、胆结石的发病率、结石发生部位及结石成分方面的差异。结果 本组167例患者中,合并乳头憩室31例,占18.56％。憩室组平均年龄62岁,明显高于非憩室组的52岁(P<0.01),且憩室发生率随年龄的增大而增高。本组发现的86例胆结石患者中24例合并十二指肠憩室,胆结石并憩室发生率27.9％;而非结石组81例中仅7例合并十二指肠憩室,占8.6％。结石组并十二指肠憩室的发生率明显高于非结石组(P<0.05)。本组中乳头旁憩室胆结石发生率(100％)明显高于乳头周围型憩室者(46.2％),有显著性差异(P<0.05)。乳头旁憩室患者的原发性胆总管结石发生率明显高于继发性胆总管结石及胆囊结石,且结石成分主要为胆色素结石。结论 十二指肠乳头旁憩室患者胆结石发病率显著增高,且主要与原发性胆总管结石相关。
Objective To investigate the frequence of periampullary diverticula and its relation with the formation of biliary calculi. Methods 167 consecutive patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) were prospectively enrolled. The patients were divided into two groups according to periampullary diverticula formation. The frequencies of bile duct gallstones were compared between two groups. The site of the stones, their gross morphology and composition were analyzed. Results Periampullary diverticula (PAD) were found in 31 of 167 cases (18.56%). The patients with PAD were significantly older than that without PAD (62 vs 52 years,P<0. 01) and its incidence increased with age (P <0. 01) . The incidence of biliary caiculi in patients with PAD was higher than those without PAD. The incidence of common bile duct stones was higher than that of gallbladder stones. They were characterized as mainly primary bile duct stones. Most of the stones were pigment stones. Conclusion Periampullary diverticula significantly increases the incidence of bile duct gallstones.
出处
《福建医药杂志》
CAS
2004年第2期23-25,共3页
Fujian Medical Journal
关键词
十二指肠乳头旁憩室
胆结石
逆行胰胆管造影
回顾性分析
Endoscopic retrograde cholangiopancreatography(ERCP)
Periampullary diverticula
Biliary calculi
