摘要
目的探讨内镜逆行胰胆管造影（ERCP）的操作技巧、安全性及对胰胆管疾病的诊断价值。方法1992年15月-1997年10月对170例患者用OlympusJF-20纤维十二指肠镜从Vater壶腹乳头处进行插管注射造影剂，使胰胆管在X线下显影。结果本组总成功155例（91．2％），疾病检出率80％，其中胆道结石占44.5％，胆总管扩张占12．9％，胰腺炎占9.6％，其它疾病较少见。并发症4例（2．4％），均无严重后果。结论ERCP对黄疽、腹痛、胰胆管疾病的诊断和鉴别诊断均有较高价值，并且是种安全可靠的检查方法。
Objective To analyse and discuss the technique, security and diagnostic value of ERCP indemonstrating cholangiopancreatic diseases. Methods ERCP, a modality imaging cholangiopancreatic ducts onX-ray films through jnserting a tube into the ampulla of Vater via endoscope, was carried out with Olympus JF2OFibric Duodenoscope in l7O cases of patients from December l992 to October l997. Results 155 cases ofPatients (91. 2% ) were successfully examined. Among them, 80% suffered from cholangiopancreatic diseases,inc1uding biliary tract stones (44 .5 % ), choledochal dilatation (12 .9% ), pancretitis (9 .6% ), and so on. Thecomplications without serious sequence occurred in 4 cases of Patients (2 .4% ). Conclusions ERCP, which isa safe examination, Possess considerable value in the diagnosis and differentiation of jaundice, abdominal pain,and cholangiopancreatic diseases.
出处
《遵义医学院学报》
1998年第2期38-40,共3页
Journal of Zunyi Medical University
