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| 胰胆管合流异常与胰腺炎关系的探讨 | |
| 引用本文： | 秦兴雷,石莉,李志强,石景森,张练,王作仁,王林. 胰胆管合流异常与胰腺炎关系的探讨[J]. 中国普通外科杂志, 2000, 9(3): 216-218 |
| 作者姓名： | 秦兴雷 石莉 李志强 石景森 张练 王作仁 王林 |
| 作者单位： | 1. 河南省洛阳市中心医院,普外科,河南,洛阳,471009 2. 河南省商丘市第三人民医院,外科,河南,商丘,476000 3. 西安医科大学第一附属医院,肝胆外科,陕西,西安,710061 |
| 摘 要： | 目的 探讨胰胆管合流异常（ＡＪＰＢＤ）与胰腺炎的关系。方法 回顾性分析胆道造影胰腺组织学、超微结构检查以及血清、胆汗淀粉酶的测定结果。结果 可分析对象１３６８例中发现ＡＪＰＢＤ３７例，发生胰腺炎２８例，其中急性胰腺炎６例，慢性胰腺炎２２例。光镜下胰腺均有炎性细胞浸润和／或纤维组织增生，其超微结构均胡不同程度的病理改变。ＡＪＰＢＤ组血清和胆汗淀粉酶及胰腺炎的发平凡经均高于对照组（Ｐ〈０．０５）。结论 |
| 关 键 词： | 胰腺炎 病因学 病理学 畸形 淀粉酶类 |
| 修稿时间： | 1999-05-14 |
Relationship between anomalous junction of pancreaticobiliary duct and pancreatitis |
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| QIN Xing-lei,SHI Li,LI Zhi-qiang,SHI Jing-sen,ZHANG Lian,WANG Zuo-ren,WANG Lin. Relationship between anomalous junction of pancreaticobiliary duct and pancreatitis[J]. Chinese Journal of General Surgery, 2000, 9(3): 216-218 | |
| Authors: | QIN Xing-lei SHI Li LI Zhi-qiang SHI Jing-sen ZHANG Lian WANG Zuo-ren WANG Lin |
| Abstract: | Objective To study the relationship between anomalous junction of pancreaticobiliary duct(AJPBD) and pancreatitis. Methods The data of cholangiography, pancreatic histology and ultrastructure examination, serum and bile amylase measurement were analysed retrospectively. Results Of 1,368 patients, 37 patients with AJPBD were found. There were 28 patients with pancreatitis in the 37 patients with AJPBD; of them 6 with acute pancreatitis and 22 chronic pancreatitis. Microscopically, there were cells infiltration and/or fibrosis in the pancreas. Electromicroscopic examination showed various degrees of ultrastructural pathological changes. The serum and bile amylase levels and incidence of pancreatitis in the AJPBD patients were higher than those in control group( P <0.05). Conclusions AJPBD are closely associated with pancreatitis. The pancreatitis caused by AJPBD evolves slowly. |
| Keywords: | PANCREATITIS/etiol ?PANCREATITIS/pathol ?PANCREATIC DUCTS/abnorm ?BILE DUCTS/abnorm ?AMYLASES/blood |
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