内窥镜逆行性胰胆管造影对梗阻性黄疸不同病因的评价  

Endoscopic Retrograde Cholangiopancreatography Diagnosis of Obstructive Jaundice with Different Causes

作　　者：郭晓丹[2] 韩俊丽[1] 白芝兰[1] 张宽学[2] 陈欣[1] 

机构地区：[1]西安交通大学医学院第二附属医院影像中心,陕西西安710004 [2]西安交通大学医学院第二附属医院2消化科,陕西西安710004

出　　处：《实用放射学杂志》2009年第2期195-196,211,共3页Journal of Practical Radiology

摘　　要：目的探讨内窥镜逆行性胰胆管造影（ERCP）对梗阻性黄疸不同病因的评价价值。方法回顾分析192例经手术、病理证实梗阻性黄疸患者的ERCP检查资料。结果在本组192例中,ERCP显示胆道结石58例,胆管癌40例,胆道炎11例,硬化性胆管炎3例,先天性胆管扩张14例,十二指肠癌19例,十二指肠乳头炎9例,转移癌5例,胰腺癌22例,胰腺囊腺瘤2例,术后粘连或损伤9例。结论ERCP对不同病因的梗阻性黄疸有较高的诊断价值。Objective To study the value of endoscopic retrograde cholangiopancreatography（ ERCP） in diagnosing obstructive jaundice with different causes. Methods The data of ERCP in 192 cases with obstructive jaundice confirmed by operation and pathology were analysized,retrospectively. Results Of 192 cases,ERCP showed 58 cases of cholelithiasis, 40 cases of bile duct carcinoma, 11 cases of cholagitis, 3 case of sclerosing cholagitis, 14 cases of congenital cholagiectasis, 19 cases of duodenum carcinoma, 9 cases of duodenal papilla inflamation, 5 cases of metastatic carcinoma, 22 cases of pancreatic carcinoma, 2 cases of cystadenoma of pancreas and 9 cases of adherence and injure after operation. Conclusion ERCP has significant value in diagnosing obstructive jaundice with different causes.

关 键 词：内窥镜逆行性胰胆管造影 梗阻性黄疸 X线摄影 

分 类 号：R575[医药卫生—消化系统] R814.41[医药卫生—内科学]