逆行胰胆管造影在胰胆管疾病中应用

Application of Retrograde Pancreatocholangiography in Diagnosis of Pancreas and Bile Duct Disease

目的探讨逆行胰胆管造影对诊断胰胆管疾病的临床价值。方法禁食6h以上，肌注十二指肠低张药物，患者取左侧卧位，将内镜缓慢送入十二指肠降段，其内壁可见纵行黏膜皱襞，中央为胰胆管开口，由此插入导管，缓慢注入造影剂，依次摄片。结果215例被检者，成功204例，失败11例，成功率为95％。肝内胆管分支显影1-4级123例，1。3级38例，胰管显影189例，胆囊不显影27例。结论逆行胰胆管造影是诊断胆、胰疾病的可靠方法。

Objective To discuss the clinical diagnostic value of retrograde pancrearocholangiography in pancreas and bile duct disease. Methods The routine pancreatocholangiography was performed for 215 cases. Results There were 204 cases succeeded and 11 cases failed with rate of 95 %. The sub - branch of intrahepatic duct developed an image of 1 - 4 in 123 cases, 1 - 3 in 38 cases and pancreatic duct in 189 cases. There were 27 cases having no gall bladder image. Conclusion The retrograde pancreatocholangiography might be reliable for diagnosis on pancreas and bile duct disease.