超声内镜在可疑胆胰疾病ERCP术前的初步应用  

Preliminary application of endoscopic ultransonography before endoscopic retrograde cholangiopancreatography in suspected choledochopancreatic diseases

作　　者：李生[1] 丁百静[1] 杨勇[1] 刘充[1] 

机构地区：[1]皖南医学院附属芜湖市第二人民医院消化内科,安徽芜湖241000

出　　处：《胃肠病学和肝病学杂志》2013年第4期321-323,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的超声内镜(EUS)在可疑胆胰病变患者行内镜逆行胰胆管造影(ERCP)术前的临床应用价值。方法对15例急性胰腺炎、梗阻性黄疸、胆总管扩张或反复腹痛等病史的患者,经腹部B超、CT和/或MRCP检查可疑胆胰病变,术前行EUS检查诊断,并经ERCP确认。结果 15例患者确诊胆总管结石并行EST取石术9例,确诊壶腹部肿瘤2例,胆管内乳头状瘤2例,十二指肠乳头炎性狭窄1例,胰管结石1例。结论 EUS对可疑胆胰病变有很高的诊断价值,特别能提高胆总管结石确诊率,高于MRCP检查,并能指导ERCP,提高治疗效果,减少风险。Objective To evaluate the clinical value of EUS before ERCP in diagnosis of patients suspected with eholedoehopancreatic diseases. Methods US, CT and/or MRCP were performed in 15 cases of acute pancreatitis, ob- structive jaundic, common bile duct dilation or repeatedly abdominal pain. EUS diagnosis was performed before ERCP. Results There were 9 cases of common bile duct stone, 2 cases of periampullary carcinoma, 2 cases of biliary papillo- matosis, 1 case of papilla of duodenum inflammational strictures, 1 case of pancreatic stones. Conclusion EUS has higher value in the diagnosis of suspected choledochopanereatic diseases.

关 键 词：超声内镜 经内镜逆行胰胆管造影术 胆总管结石 胆管内乳头状瘤 壶腹部肿瘤 

分 类 号：R575[医药卫生—消化系统]