摘要
目的:评价内窥镜下逆行胰胆管造影(ERCP)对胆管梗阻性疾病的诊断以及内窥镜下乳头括约肌切开术(EST)治疗胆总管结石的价值。方法:回顾性分析82例经手术、病理证实的ERCP表现以及62例胆总管结石的EST取石治疗。结果:本组82例,78例ERCP显示异常,其中胆管结石65例,胆管癌7例,胆管炎症狭窄3例,胆总管囊肿、胆道蛔虫、外科手术后胆总管瘘各1例。4例ERCP未显示病变,ERCP对胆管梗阻性疾病诊断正确率为95.1%(78/82)。ERCP指导EST行网篮、球篮和机械碎石网篮取石,取石60例,2例失败,取石成功率为96.8%(58/60)。结论:ERCP对胆管梗阻性疾病有较高的诊断价值,同时在EST网篮碎石、取石中具有重要的基础作用,可指导网篮取石及观察疗效。
Objective:To evaluate the diagnostic and therapeutic value of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) in obstructive disease of bile duct. Methods:The ERCP manifestation of 82 cases proved by operation and pathology were analyzed retrospectively, and 62 cases were treated by EST among them. Results: The abnormal imaging features of ERCP were reviewed in 78 cases (78/82), of which 65 cases were cholelithiasis, 7 carcinoma of bile duct, 3 cholangitic stenosis, 1 choledochocgst, 1 ascariasis of biliary tract, 1 biliary fistula, and 4 cases were normal. The diagnostic accuracy of ERCP was 95.1% (78/82). sixty cases of choledocholithiasis were treated by using lithotomy basket, lithotomy balloon and mechanical lithotrcptic basket, of which 2 cases were failure, its successful rate was 96.8% (58/60). Conclusion: ERCP is of important value in diagnosing obstructive disease of bile duct and EST is reliable in treating choledocholithiasis.
出处
《中国中西医结合影像学杂志》
2007年第1期24-26,共3页
Chinese Imaging Journal of Integrated Traditional and Western Medicine