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本文报告6例胰腺分裂,占同期ERCP的0.6%,6例均有腹痛,2例有慢性胰腺炎病史。ERCP所见:主胰管长度1.5~3.5cm,平均2.25cm,其末端呈细树枝样。用针状导管从副乳头插管5例,显影4例,副胰管长度8.5~13.5cm,平均11.6cm,1例副乳头开口部有狭窄,其副胰管头部见-6mm×4mm囊性扩张,4例主副胰管间均无汇合交通支。本组1例经用气囊行副乳头扩约肌扩张成形术治疗,术后腹痛明显减轻。
This article reports 6 cases of pancreatic division, accounting for 0.6% of ERCP over the same period, 6 cases had abdominal pain, 2 cases had a history of chronic pancreatitis. ERCP seen: the main pancreatic duct length 1.5 ~ 3.5cm, an average of 2.25cm, the end was thin dendritic. With needle catheter from the accessory papillae in 5 cases, 4 cases of development, the length of the secondary pancreatic duct 8.5 ~ 13.5cm, an average of 11.6cm, 1 case of paracondopelvic stenosis, the pancreaticobiliary head see - 6mm × 4mm cystic dilatation, 4 cases of primary and secondary pancreatic duct no confluent transport branch. One patient in our group was treated with balloon dilatation and expansion surgery with balloon, and the postoperative abdominal pain was relieved.