ERCP与B超协同CT在胆胰疾病的诊断价值与区别.pdfVIP

· 172 · 四川医学2OO8年2月第29卷(第2期) S／ch~umMedical Jo,mal，2OO8，Vo1．29，No．2 论著 ． ERCP与B超协同CT在胆胰疾病的诊断价值与区别 王小明，徐世琴 (攀枝花市中心医院消化内科，四川攀枝花6]7o67) 【摘要】 目的 总结ERCP在胆胰疾病中的诊断价值与B超及CT诊断的区别。方法 回顾分析200例临床经Eli． CP诊断的胆管和胰腺疾病。结果 ERCP检查成功率96％，ERCP对胆管癌、胆总管囊肿和壶腹部癌的确诊率均为 100％，对胆管结石的确诊率为94％。而B超协同Cr联合诊断胆管癌为37％；壶腹部癌为51％；胆管结石为80％。结论 ERCP对胆管结石、胆管癌和壶腹部癌的诊断明显优于B超和Cr。 【关键词】ERCP；胆管；胰腺 【中图分类号】R 445 【文献标识码】A 【文章编号】1004-0501(2008}02-0172．02 nae di盘 的stic value ot Ⅸ e0pic retrogra,le eholangiooanereatography in diseases otthe panerease and bmary traet dit- relent trom B ultrasonic wave and cr．WANG Xiao-ming，XU Shi—qin．Department ofGastroenterology，Panzhihua Central Hospital， Panzhihua，Shichuan 617067，Ch／na 【Absmict】 Objective Summarized ERCP experience in the diagnosis on diseases of pancreatic and choledoehus’diseases． Methods We reviewed and ar,aly~ 200 clinical biliary tract and pancreatic disease diagnosed by ERCP．Results ERCP checked 96％。f StlCCe88 raiefinally，ERCP，the definite diagnosis ratetothemalignanttumors ofthe bile duct；the congenital biliary cystic dilata— tion；the carcinoma of ampulla is 100％．The definite diagnosis rate to the bile duet calculus is 94％．And B ultrasonic w丑ve。CT join~y diagno6es the malignant tumors ofthe bile duce is 37％：the carcinoma ofampulla is 51％．The duct calculus is 80％ ．CoIIChlSiOI1 Eli— CP，to the bile duct calculus；the malignant tHIIIOPS of the bile duct and the carcinoma of ampulla B．re superior to B ultra~ cwave and CT． 【Keywords】ERCP；biliarytract；pancreasa 我院从2006 2007年共对200例胆管和胰腺疾病 肝内外胆管或／和胰管显影。如患者为胆管梗阻性疾 行常规B超及CI检查后再行ERCP检查或治疗，现将 病或胆管感染，即留置鼻胆管引流，必要时灌注抗生 相关临床体会，报告如下。