ERCP在梗阻性黄疸病因鉴别诊断中的应用  

Diagnostic value of endoscopic retrograde cholangiopancreatography in obstructive jaundice

作　　者：任粉玉[1] 朴熙绪[1] 崔顺子[1] 

机构地区：[1]延边大学附属医院消化内科,吉林省延吉市133000

出　　处：《世界华人消化杂志》2009年第28期2955-2957,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨逆行胰胆管造影术(endoscopic retrograde cholangi opancreatogahpy,ERCP)在梗阻性黄疸的病因鉴别诊断中的应用价值.方法:行ERCP检查并经术后或病理检查确诊的梗阻性黄疸患者49例,其中40例行ERCP、B超、CT检查,比较分析三者的诊断符合率.结果:40例患者同时行ERCP、B超、CT检查,三种影像学诊断符合率分别为77.7%、35.72%、64.77%,其中ERCP对梗阻性黄疸病因的诊断率明显高于B超及CT检查(P<0.05).结论:ERCP在梗阻性黄疸的病因鉴别诊断中具有较高的诊断价值,且优于B超和CT检查.AIM：To evaluate the application of endoscopic retrograde cholangiopancreatography （ERCP） in the diagnosis of obstructive jaundice （OJ）.METHODS：A total of 49 patients with surgically and pathologically confirmed OJ were retrospectively analyzed.Of all patients included,40 underwent routine ERCP,B-mode ultrasonic examination and computed tomography （CT） examination simultaneously.The diagnostic accuracy of these examinations was compared.RESULTS：The diagnostic accuracy of ERCP in the detection of c holedocholithiasis-induced OJ was 96.6%. The diagnostic accuracy of ERCP, B-mode ultrasonic examination and CT examination for OJ was 77.7%, 35.72% and 64.77%, respectively. The diagnostic accuracy of ERCP in investigating the etiology of OJ was significantly higher than that of B-mode ultrasonic examination and CT examination （both P 〈 0.05）.CONCLUSION： ERCP is superior to B-mode ultrasonic examination and CT examination in the investigation of the etiology of OJ.

关 键 词：逆行胰胆管造影术 梗阻性黄疸 诊断 

分 类 号：R575[医药卫生—消化系统]