胆总管、胰管汇合部地应用解剖.pdfVIP

胆总管、胰管汇合部的应用解剖 摘要 为给经内镜逆行胆胰管造影、经内镜乳头括约肌切开术等临床 诊断、治疗提供应用解剖学资料，对70 例人尸体的胆总管与胰管汇 合部进行了解剖、测量并统计。结果胆总管入十二指肠角：成人41. o o 1±1.75 、儿童40.1±1.72 ，胆总管肠壁内段长度：成人1.04±0.42cm、 儿童0.89±0.63cm；十二指肠大乳头位于十二指肠降部中1/3 者44 例， 占总例数的67%，其余开口于降部的上1/3 或下1/3；十二指肠大乳 头至胃幽门间距：成人9.84±1.58cm、儿童8.26±1.64cm；至上颌中切 牙间距：成人74.58±1.77cm，儿童69.63±2.08cm，胆总管、胰管汇合 共同开口41 例，占分型数50 例的82%，其余为分别开口。结果提示 胆总管入角越小其肠壁内段长度越长，十二指肠大乳头位于降部中1 /3 后内侧壁者及胆总管与胰管共同开口者占多数，并对其临床意义展 开讨论。 关键词 胆总管、胰管汇合部 应用解剖 APPLIED HUMAN ANATOMY OF PANCREATICOBILIARY ? ? JUNCTION Qian Yuelou , Wang Qiugui, Chen Xiaowu, et al. Department of Anatomic,Xianning Medical College, Hubei 437100 Abstract With the stress on regional anatomy of pancreatico biliary junction 70 human cadavers were dissected and measured, d ata being treated statistically. Results showed that the angle formed by common bile duct (CBD) at the entranec into duodenum was 4 o o 1.1±1.75 in adult and 40.1±1.72 in child;intramural length of CBD measured 1.04±0.42cm and 0.89±0.63cm respectively;the major pap illa situated at inner lateral side of middle 1/3 of descending duode num in 67% (n=44), the rest at inner lateral side of upper or lower 1/3; distance from major papilla to pylorus maintained 9.84±1.58c m in adult and 0.89±0.63cm in child, that to the upper incisive too th being 74.58±1.77cm and 69.63±2.08cm accordingly; a common p ath formed by the two ducts before entering in 82% (n=41/50). It i s concluded that the smaller the angle the longer the intramural CB D.The significance of