摘要
本文对确诊的３９例慢性胰腺炎和３５例胰腺癌的内窥镜逆行胰胆管造影（ＥＲＣＰ）表现进行了对比分析。胰管或胆总管胰腺段狭窄，在这两种疾病中的发生率虽有差别但不明显，敌对二者的鉴别意义不大。胰管及其分支不规则扩张绝大多数见于慢性胰腺炎；而胰管或胆总管胰腺段完全性梗阻，尤其是截断状阻塞绝大多数见于胰腺癌。此两种表现对慢性胰腺炎与胰腺癌的鉴别诊断有重要价值。
ERCP findings in 39 cases of chronic pancreatitis and 35 cases of pancreatic carcinoma were comparatively analysed.ALL these cases had been histilogically proved.There were some differences in the extent of the narrowing of the pancreatic duct or pancreatic part of common choledochus in these two illnesses,but not so great.This sign was therefore not of much value to us in the differentiation of these two illnesses,On the other hand,the irregular dilation of the pancreatic duct and its branches were seen in most cases of chronic pancreatitis,while complete obstruction of the pancreatic duct or pancreatic part of common choledochus occurred in pancreatic carcinoma.These two manifestations seen by ERCP were very important in the differentiation of chronic pancreatitis from pancreatic carcinoma.
出处
《青岛医学院学报》
1994年第4期285-287,共3页
Acta Academiae Medicinae Qingdao Universitatis
