【摘要】 给“内镜肝胰壶腹括约肌切开术”、“内镜逆行胆胰管造影”和临床诊断、治疗提供解剖学基础。方法:对70例人尸体的胆总管和胰管汇合部进行了解剖、测量并统计。结果:胆总管肠壁内段长度:成人1.04±0.42cm,儿童0.89±0.35cm。胆总管人十二指肠角成人41.1±1.75°,儿童40.1±1.72°。十二指肠大乳头至胃幽门间距成人为9.84±1.58cm,儿童为8.26±1.64cm。十二指肠大乳头至上颌中切牙间距成人为74.58±1.77cm,儿童为8.26±1.64cm。胆总管和胰管汇合后共同开口有41例,占分型数50例(82％),其余为分别开口。开口处位于十二指肠降部中1/3为44例,占总例数70例(67％),其余开口于降部的上1/3或下1/3。结论:胆总管人角越小,其壁内段长度越长。胆总管和胰管汇合共同开口者占多数,十二指肠大乳头位于其降部中1/3后内侧壁者为多数,并对其临床意义展开了讨论。更多还原

【Abstract】 Aims:To provide anatomic basis for the endoscopic papillatomy and endoscopic retrograde cholangio pancreatography. Methods: The junction of common bile duct and pancreas duct on 70 cadavers in man was anatomied, and measured. Results: The length of enteric intramuralis parts of common bile duct of the adult is 1.04**0.42cm. and that of the child is 0.89**0.35cm. Entering angle of common bile duct of the adult is 41.1& **1.75&? and that of the child is 40.1& ** 1.72&. Distance between duodenal major papilla and pylorus of the adult is 9.84**1.58cm. and that of the child is 8.26**1.64cm. Distance between duodenal major papilla and middle incisives dent of the adult is 74.58**1.77cm. and that of the child is 8.26**1.64cm. Duodenal major papilla situates in the 1/3 middle area of the duodenal descending part in 44 cases(67%). The common bile duct and pancreas duct formed common duct in 41 case(82%). Conclusions: The smaller the entering angle of common bile duct, the longer the length of enteric intramuralis parts of common bile duct. The type of common duct, which is formed of common bile duct and pancreas duct is in great majority, and so is the type, whose duodenal major papilla situates in the 1/3 middle area of the duodenus descending part. Their clinical significance was also discussed.更多还原