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目的探讨在经皮肝穿刺胆管引流术下胰胆管合流异常与胆管癌(胆囊癌和肝外胆管癌)的相关性。方法回顾性分析2000年6月—2008年6月234例阻塞性黄疸患者行PTCD治疗的临床及影像学资料,其中PTCD术中胰管显影、具有经皮肝穿刺胆道钳夹活检病理资料者49例,确诊PBM38例。随机在196例无PBM的OJ病例中抽取96例为对照组,与38例伴有PBM的OJ病例行对照研究,分析PBM与胆管癌的相关性。结果两组病例中胆管癌发生率存在显著性差异(P<0.01)。结论 PBM与胆管癌发生有显著相关性。
Objective To investigate the relationship between pancreaticobiliary duct anomalies and cholangiocarcinoma (gallbladder carcinoma and extrahepatic cholangiocarcinoma) under percutaneous transhepatic biliary drainage. Methods The clinical and imaging data of 234 patients with obstructive jaundice who underwent PTCD in our hospital from June 2000 to June 2008 were retrospectively analyzed. Among them, the pancreatic duct was developed in PTCD and the pathological data of percutaneous transhepatic cholangiography For example, 38 cases of confirmed PBM. Ninety-six patients with OJ without PBM were randomly divided into control group and control group with 38 cases of OJ patients with PBM. The correlation between PBM and cholangiocarcinoma was analyzed. Results There was a significant difference in the incidence of cholangiocarcinoma between the two groups (P <0.01). Conclusion There is a significant correlation between PBM and cholangiocarcinoma.