经内镜逆行胆胰管造影术在胆总管壶腹区病变中的诊疗价值  

The Value of Diagnosis and Treatment in Choledochus Periampullary Diseases by ERCP

作　　者：李政义[1] 毕泗长[1] 姚丙乾[1] 张裕华[1] 董杰[1] 于洪存[1] 

机构地区：[1]山东省千佛山医院,山东济南250014

出　　处：《实用医技杂志》2007年第20期2769-2770,共2页Journal of Practical Medical Techniques

摘　　要：目的：探讨经内镜逆行胆胰管造影（ERCP）术在胆总管壶腹区病变中的诊疗价值。方法：回顾性分析23例胆总管病变的影像学资料。全部病例行超声波检查、ERCP检查；其中9例行多层螺旋CT检查，5例行MRCP检查。结果：ERCP术能较好的显示胆总管及其病变，且能对胆总管结石、慢性炎症狭窄进行微创治疗。结论：ERCP对胆总管病变的检查优于CT、MRCP，特别对十二指肠壁壶腹区的占位病变较CT、MRCP检查有不可替代的优越性和诊断价值。Objective To discuss the value of ERCP in the diagnosis and therapy of Choledochus Periampullary Diseases. Methods There are 23 cases of bile commen duct diseases, all cases were examed by ultrasonic examination and ERCP methods, among them 9 cases were examed by muhilayer spir-CT. Results ERCP not only dieplay the imaging of bile commen duct and its affections better, but also it has better therapy in bile commen duct calculus and chronic inflammation stricture diseases with micro-damage. Conclusion ERCP as an important examination method, it was superior to CT or USG, especially in the malignant diseases of periampullae, it has much more superiority and diagnostic value than other imaging examinations , and it cannot be succedaneous.

关 键 词：壶腹周围疾病 内镜逆行胆胰管造影术 体层摄影术 X线计算机 

分 类 号：R657.4[医药卫生—外科学]