ERCP在胆囊切除术后综合征中的诊断价值探讨  

The diagnostic value of ERCP in post-cholecystectomy syndrome

作　　者：李晓林[1] 梁君蓉[2] 张冲[2] 石德红[2] 

机构地区：[1]陕西省宝鸡市金台医院消化科,陕西宝鸡721000 [2]陕西省宝鸡市解放军第三医院消化科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2016年第23期144-144,146,共2页Clinical Research and Practice

摘　　要：目的探讨内镜下逆行胰胆管造影术(ERCP)在胆囊切除术后综合征(PCS)中的诊断价值。方法收集2012-2015年解放军第三医院收治的150例PCS患者的临床资料进行回顾性分析,所有患者均接受ERCP检查,通过与B超检查结果对照来判断ERCP检查的准确性。结果所有患者中,确诊为胆总管结石54例,肝内胆管结石33例,胆囊管低汇流18例,残留胆囊管过长13例,胆总管下段炎性狭窄8例,壶腹癌16例,肝门部胆管癌8例,ERCP诊断准确率为96.00%(144/150),明显高于B超的40.00%(60/150),差异具有统计学意义(P<0.05)。结论应用ERCP诊断PCS是一种可靠的检查手段,具有很高的可行性。Objective To discuss the diagnostic value of endoscopic retrograde cholangiopancreatography （ERCP） in post-cholecystectomy syndrome （PCS）. Methods The clinical data of 150 patients with PCS in the third hospital of people＇s liberation army from 2012 to 2015 were retrospectively analyzed. All the patients received ERCP examination, and the accuracy of ERCP examination was judged by comparing with the results of B-type ultrasound. Results Of all patients, 54 cases were diagnosed with common bile duct stones, 33 cases were hepatolithiasis, 18 cases were low junction of cystic duct, 13 cases were long residual cystic duct, 8 cases were inflammatory stenosis at the end of common bile duct, 16 cases were ampullary carcinoma, 8 cases were hilar cholangioearcinoma. The diagnostic accuracy rate of ERCP was 96.00% （144/150）, which was significantly higher than 40.00% （60/150） of B-ultrasound, the difference was statistically significant （P〈0.05）. Conclusion The application of ERCP in the diagnosis of PCS is a reliable examination method, which has a high feasibility.

关 键 词：内镜下逆行胰胆管造影术 胆囊切除术后综合征 B超 

分 类 号：R657.4[医药卫生—外科学]