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通过对22例自发性胆道穿孔（IPBD）手术和经“T”型管道造影检查，发现13例存在胶胆管合流异常（APBDU）占59％，手术和随访发现9例胆道扩张。认为APBDU不仅能导致先天性胆道扩张症（CBD）．更是IPBD的首要致病原因，IPBD与CBD是同源于APBDU的胆道疾患，对IPBD患者应作长期随访，发现胆道扩张应及早手术。
Twenty-two cases of spontaneous biliary perforation (IPBD) surgery and T-tube angiography showed that 13 cases had an APBDU of 59%, and 9 cases of biliary tract dilatation were found by surgery and follow-up. APBDU not only leads to congenital biliary dilatation (CBD). IPBD is the primary cause of disease, IPBD and CBD are APDDU-like biliary disorders, IPBD patients should be made for long-term follow-up and found that biliary dilatation should be as early as surgery.