ERCP诊断梗阻性黄疸的价值探讨(附63例分析)  

Research on Diagnostic Value of Endoscopic Retrograde Cholangiopancreatography for Obstructive Jaundice with 63 Cases

作　　者：吴艳环[1] 叶震世[1] 钟燕[1] 蔡志萍[1] 郭明玉[1] 

机构地区：[1]厦门市中山医院,361004

出　　处：《福建医药杂志》2001年第1期13-14,共2页Fujian Medical Journal

摘　　要：ERCP诊断梗阻性黄疸的价值 ,6 3例梗阻性黄疸行 ERCP检查 ,结果显示恶性胆道梗阻 32例 ,占 5 6 % ;良性梗阻 2 5例 ,占 44 %。胰胆管未显影 6例 ,插管成功率为 90 .5 %。外科手术治疗的 33例 ERCP诊断与术后诊断比较 ,ERCP对胆总管结石的诊断符合率为 10 0 %。对肿瘤诊断符合率 77.8% ,主要是胰腺癌、胆管癌、胆囊癌及壶腹周围癌等。ERCP用于梗阻性黄疸鉴别诊断可提供很有价值或决定性诊断资料。本文对梗阻性黄疸行 ERCP检查并与术后诊断进行对比 ,探讨其对病因的诊断价值。In order to evaluate the value of endoscopic retrograde cholangiopancreatography(ERCP)in obstructive jaundice diagnosis,we employed this method to examine 63 cases of obstructive jaundice.Results showed that there were 32 cases of malignant obstruction,56% of total;25 cases of benign obstruction,44% of total;6 cases with unsuccessful ERCP.Rate of the successful intubations was 90 5%.Among 33 cases with surgery the comparison of postoperative and ERCP diagnosis results showed that the diagnostic coincidence rate of ERCP in choledocholithiasis was 100% while in cancer diagnosis was 77 8%,mainly pancreatic cancer,biliary duct cancer,gallbladder carcinoma and peri ampullar carcinoma.ERCP provides valuable and critical diagnostic ERCP and postoperative diagnosis for obstructive jaundice;discusses diagnostic value of ERCP in the cause of obstruction.

关 键 词：梗阻性黄疸 逆行胰胆管造影 诊断 ERCP 

分 类 号：R575[医药卫生—消化系统] R445.9[医药卫生—内科学]