摘要
目的通过逆行胰胆管造影(ERCP)诊断和治疗胆胰疾患,评价ERCP的临床应用价值。方法对51例因不同原因的黄疸病人进行ERCP检查,男26例,女25例,平均年龄60.5岁,采用奥林巴斯TJ140型纤维十二指肠镜及500MA的遥控胃肠机,插镜入十二指肠降段,在乳头开口处插入导管注入造影剂,采用不同体位摄片1—3张,根据造影不同情况选择十二指肠切开术和胆管引流术(ERBD)。结果胆道结石25例,胆管癌7例,胰头癌6例,壶腹部癌4例,胆管炎5例,4例未显示异常。结论ERCP能清楚的显示胰胆管结构,适合于各类胰胆管疾患,并可为选择治疗方案提供依据。因此ERCP有较高的临床诊疗价值。
Objective To investigate the diagnostic value of endoscopic retrograde cholangiopancreatography in the disease of biliary tract and pancreas. Methods the 51 patients with differential jaundice were examine by endoscopic retrograde cholangiopancreatography(ERCP). Results 25 cases with gallsone,7 cases with cholangiocarcinoma,6 cases with carcinoma of head of pancreas ,4 cases with carcinoma of ampulla, 4 cases with cholangitis and 4 cases without disease. Conclusion endoscopic retrograde cholangiopancreatography have higher diagnostic value inall kinds of disease of biliary tract and pancreas.
出处
《湖北民族学院学报(医学版)》
2007年第1期44-46,共3页
Journal of Hubei Minzu University(Medical Edition)
关键词
内窥镜逆行胰胆管造影
胆胰疾患
影像诊断
治疗
Endoscopic retrograde cholangiopancreatography
Biliary tract
Pancreas
Imaging diagnosis