【摘要】 目的 评价十二指肠乳头旁憩室(JDD)与胆总管结石的关系。方法 回顾性分析575例内镜逆行胰胆管造影资料，计算JDD检出率和胆总管结石发生率，比较各组胆总管直径测量结果。结果 全组JDD检出率为18.1%，随年龄增长JDD检出率增加(P<0.001)。JDD组胆总管结石合并率高于无JDD组(51.0%比34.0%，P<0.01)。无胆总管结石≤65岁和>65岁组中JDD患者胆总管直径均大于无JDD者(9.4±3.6比7.1±2.9，12.8±3.0比8.3±2.5，P<0.01)。伴胆总管结石≤65岁组中JDD患者胆总管直径与无JDD者的差别有显著性(14.1±5.3比11.3±3.6，P<0.05)，>65岁组中这种差异无显著性(15.7±4.5比13.6±4.0，>0.05)。结论 JDD影响胆总管直径，是胆总管结石形成的重要危险因素。

    【关键词】 十二指肠乳头旁憩室 胆总管结石 胆总管直径

    The Relationship between Juxtapapillary Duodenal Diverticula and Choledocholithiasis.

    Chen Erdong,et al.

    (Department of Gastroenterology,The Third Affiliated Hospital of Qiqihar Medical College,Qiqihar,Heilongjiang,161000)

    【Abstract】 Objective To assess the association between juxtapapillary duodenal diverticula(JDD) and choledocholithiasis.Methods The results of endoscopic retrograde cholangiopanceatography were retrospectively analyzed in 575 consecutive patients,with calculating morbidity rates of JDD and of choledocholithiasis,comparing mean bile duct diameters in different groups.Results The incidence of JDD was 18.1% in total patients and increased with age(P<0.001).Patients with JDD had choledocholithiasis more often than patients without JDD(51.0% vs 34.0% ......