摘要
为探讨ＥＲＣＰ对胆囊切除术后综合征的病因诊断价值，对１０８例胆囊切除术后综合征进行ＥＲＣＰ检查，插管成功率９６．３％，有效诊断率８７．０％，结果表明胆总管和（或）肝内、外胆管残余结石占３６．１％，胆总管炎性扩张或狭窄占１７．６％，胆囊管残留过长占６．５％，胆管损伤占１．８％。认为ＥＲＣＰ检查对胆囊切除术后综合征不仅能明确其病因，而且对选择治疗方法也有重要意义。
To study the diagnostic value of ERCP on the causes of postcholecystectomy syndrome(PCS),ERCP was conducted in 108 cases with PCS.The rate of successful ERCP cutheterization was 96 3% and the diagnosis confirmed in 87 0%.The findings revealed that residual stones in CBD and intra or extra hepatic duct accounted for 36 1%,inflammatory stricture or dilatation of bile duct 17 6%,long cholocystic ductal remnant 6 5% and ductal injury 1 8%.This paper showed that diagnostic rate of ERCP is obviously higher than that of B mode ultrasonic examination for PCS.Reoperations were performed on 29 cases confirming the results of ERCP.It is assumed that ERCP could better define the cause of PCS and guide further treatment.
出处
《中华消化内镜杂志》
1997年第2期91-92,共2页
Chinese Journal of Digestive Endoscopy
