摘要
目的探讨采用 ERCP 检查诊断胆囊管不全性梗阻和手术治疗效果。方法回顾46例非结石性反复胆绞痛病人经 ERCP 检查,以影像学显示胆囊管迂曲狭长或造影后胆囊排空迟缓为依据,诊断胆囊管不全性梗阻,均行胆囊切除术。结果经1~16年的随访,仅4例无效,其余病例疗效满意。结论 ERCP 检查是诊断胆囊管不全性梗阻的重要方法,施行胆囊切除术效果好。
Objective To investigate the value of endoscopic retrograde choledocho-pancreatog- raphy (ERCP) in diagnosis of cholecystic duct partial obstruction (CDPO) and effects of surgery on it. Methods ERCP was used to examine 46 patients with repeated occurrence of non-stone gallbladder colicky pain.The diagnosis of CDPO was made according to evidences of narrow-winding cystic duct or difficulty in cystic drainage.Those patients who were found to suffer from CDPO were treated with cholecystectomy.Results The follow-up for 1 to 16 years indicated that satisfactory outcome was achieved in all the 46 patients but 4.Conclusions ERCP is a good method for diagnosis of CDPO and fine results can be achieved after cholecystectomy.
出处
《中华肝胆外科杂志》
CAS
CSCD
2001年第12期712-713,共2页
Chinese Journal of Hepatobiliary Surgery