胆囊管低位汇合的临床意义

目的　探讨胆囊管低位汇合的临床意义 ,提出对过长的胆囊管残留的重新认识。方法　复习胆囊管变异的解剖 ,分析 5例胆囊管低位汇合的病例。结果　 2例打开胆囊管并取出结石后再打开胆总管 ,胆囊管直接缝合 ,5例胆囊管均未解剖游离。术后随访 2年来无腹痛腹胀等不适。结论　对于胆囊管的低位汇合 ,宜仔细解剖 ,辨明关系 ,胆囊管内有结石应取出 ,无结石则不必游离完全切除以避免胆管损伤。单纯胆囊管残留过长不一定会引起临床表现。

The clinic meaning in low confluence of cystic duct

Objective Discussing the clinic meaning which cystic duct is low confluence to CBD.Method Combining the anatomy of cystic duct,analyzing 5 cases with low confluence of cystic duct.Results Cystic duct were opened and caught out stones,then closed by direct future in 2 cases. The cystic duct were not cut out in all cases.They were fine without any discomforts such as abdomen pain,abdomen bulge over 2 years.Conclusions Anatomic should becareful in the cases with low confluence of cystic duct.The stones in the cystic duct should be taken out.The cystic duct may be left longer.Simple longer cystic duct may be no clinical meanings.