摘要
目的 探讨内镜逆行胰胆管造影 (ERCP)对Mirizzi综合征的诊断价值 ,提高对该病的术前诊断率。方法 对 30例Mirizzi综合征的临床特征、实验室检查、十二指肠镜下特点及ERCP的X线表现进行分析 ,并与B超、CT检查相比较。结果 Mirizzi综合征病史较长 ,ERCP的典型表现为肝总管可见边缘完整的充盈缺损 ,充盈缺损以上的肝总管及肝内胆管轻至重度扩张 ,并胆囊萎缩及胆囊结石。ERCP确诊率为 86 6 7% (2 6 / 30 ) ,B超、CT确诊率各为 6 6 7% (2 / 30 )。结论 ERCP作为一种胆道直接造影方法 ,可以显著提高对Mirizzi综合征患者的术前诊断率 ,相对于B超、CT而言 。
Objective The value of preoperative diagnosis for Mirizzi syndrome via endoscopic retrograde cholangiopancreatography ( ERCP) was studied Methods 30 cases with suspected Mirizzi syndrome were enrolled Their clinical features, lab findings, duodenoscopic and X-ray appearances were analysed and compared with those seen in BUS and CT scan Results A longer history of suffering could often be elicited, smooth edged filling defeat at the lower end of common hepatic duct was frequently observed associated with atrophic gall bladder and stones The preoperative detection rate by ERCP for Mirizzi syndrome attained approximately 86 67%(n=26/30), in contrast with each 6 67%(n=2/30) by BUS and CT Conclusion Being a direct method to illuminate biliary tracts ERCP provides more reliable signs for Mirizzi syndrome than the indirect BUS and CT scan
出处
《中华消化内镜杂志》
2000年第2期74-75,共2页
Chinese Journal of Digestive Endoscopy
