AN ANATOMICAL-RADIOLOGICAL STUDY ON PANCREATIC DUCT PATTERN IN MAN
AN ANATOMICAL-RADIOLOGICAL STUDY ON PANCREATIC DUCT PATTERN IN MAN
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DOI：
10.1002/ar.1091390109
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发表时间：
1961-01-01
影响因子：
--
通讯作者：
LANGMAN, J
中科院分区：
文献类型：
--
作者：
DAWSON, W;LANGMAN, J
本文对120例成人、20例婴儿和20例胎儿的胰管系统进行了检查。特别注意副胆管和小乳头的通畅，以及Wirsung管和胆总管的关系。获得的数据与标本的性别和年龄相关。成人的胰管形态可分为4组：(a)胚胎型（9例），与胚胎时一样，腹侧和背侧胰管之间未形成接触；(b)副导管未闭（48例），副导管在小乳头处进入十二指肠；(c)胰ansatica（21例），其中背、腹侧导管下支在小乳头处形成袢进入十二指肠；(d)发生部分或全部闭塞的副导管闭塞（42例）。在57%的女性和49%的男性标本中，小乳头能够在大乳头闭塞的情况下充当安全阀（无显著差异）。在胆道返流进入胰管系统的可能性方面，52%的男性和46.6%的女性标本在Wirsung管和胆总管之间存在长度大于3mm的共同通道（无显著差异）。
The pancreatic duct system of 120 adults, 20 infants and 20 fetuses was examined. Special attention was given to the patency of the accessory duct and minor papilla, and to the relation of Wirsung''s duct and common bile duct. Data obtained were correlated with sex and age of the specimens. The duct pattern as found in the adults is classified in 4 groups: (a) embryonic type (9 cases), in which, as in the embryo, no contact between the ventral and dorsal pancreatic ducts was established; (b) patent accessory duct (48 cases), in which the accessory duct opens into the duodenum at the minor papilla; (c) ansa pancreatica (21 cases), in which the inferior branch of dorsal and ventral ducts have formed a loop entering the duodenum at the minor papilla; (d) obliterated accessory duct (42 cases) in which partial or total obliteration has occurred. In 57% of the female and 49% of the male specimens is the minor papilla able to act as a safety valve in case of occlusion of the major papilla (no significant difference). In regard to reflux possibility of biliary products into the pancreatic duct system, 52% of the male and 46.6% of the female specimens have a common channel of more than 3 mm length between Wirsung''s duct and common bile duct (no significant difference).