超声内镜在可疑胆胰疾病ERCP术前的初步应用  

Preliminary Application of Endoscopic Ultrasonography before ERCP for Suspected Biliary and Pancreatic Diseases

作　　者：黄霜湘 陈丽芬[1] 黄理[1] 杨月华 覃家凭 HUANG Shuang-xiang;CHEN Li-fen;HUANG Li;YANG Yue-hua;TAN Jia-ping(Department of Gastroenterology,Hechi People's Hospital,Hechi,Guangxi Zhuang Autonomous Region,547000 China)

机构地区：[1]河池市人民医院消化内科,广西河池547000

出　　处：《系统医学》2021年第2期4-6,共3页Systems Medicine

摘　　要：目的探讨在可疑胆胰疾病内镜逆行胰胆管造影(ERCP)术前超声内镜的应用效果。方法选取2018年11月—2019年10月期间21例可疑胆胰疾病ERCP术前患者作为研究对象,采用腹部B超、CT等方式,对可疑胆胰病变进行检查,于术前实施超声内镜检查诊断,通过ERCP确诊。结果21例患者中,确诊胆总管结石10例,壶腹部肿瘤3例,胆管内乳头状瘤4例,十二指肠乳头炎性狭窄2例,胰管结石2例。结论在可疑胆胰病变中,应用超声内镜诊断,价值显著,使胆总管结石确诊率提高,并为ERCP提供指导,临床效果显著,手术风险低。Objective To investigate the application effect of endoscopic ultrasonography before endoscopic retrograde cholangiopancreatography(ERCP)in suspected biliary pancreatic diseases.Methods From November 2018 to October 2019,21 patients with suspected biliary and pancreatic diseases before ERCP were selected as the research objects.Abdominal B-ultrasound,CT and other methods were used to examine suspected biliary and pancreatic diseases,and endoscopic ultrasonography was performed before the operation.Check the diagnosis and confirm the diagnosis by ERCP.Results Among 21 patients,10 were diagnosed with choledocholithiasis,3 with ampullary tumor,4 with bile duct papilloma,2 with duodenal papillary inflammatory stenosis,and 2 with pancreatic duct stones.Conclusion In suspicious biliary and pancreatic diseases,the application of endoscopic ultrasound diagnosis is of significant value,which improves the diagnosis rate of common bile duct stones and provides guidance for ERCP,with significant clinical effects and low surgical risk.

关 键 词：超声内镜 可疑胆胰疾病 内镜逆行胰胆管造影 壶腹部肿瘤 胰管结石 

分 类 号：R737[医药卫生—肿瘤]