ERCP B超及CT对胆胰疾病的诊断价值

The Diagnostic Value of ERCP in Diseases of the Pancreas and Biliary Tract Different from B-mode Ultrasonic and CT

目的:总结ERCP在胆胰疾病中的诊断价值与B超及CT诊断的区别。方法:回顾分析168例临床经ERCP诊断的胆管和胰腺疾病。结果:ERCP对胆管癌、胆总管囊肿和壶腹部癌的确诊率均为100%,ERCP对胆管结石的确诊率为96.9%。而B超协同CT联合诊断胆管癌为33.3%;壶腹部癌57.1%,胆管结石为81.2%。结论:ERCP对胆管结石、胆管癌和壶腹部癌的诊断明显优B超和CT。

Objective： To summarize ERCP experience in the diagnosis of diseases of pancreas and choledochus.Method： We reviewed and analysed 168 cases clinical biliary tract and pancreatic disease diagnosed by ERCP.Result： ERCP,the definite diagnosis rate to the malignant tumors of the bile duct;the congenital biliary cystic dilatation;the carcinoma of ampulla was 100%.The definite diagnosis rate to the bile duct calculus was 96.9%.And B-mode ultrasonic,CT jointly diagnoses the malignant tumors of the bile ducte was 33.3%;the carcinoma of ampulla was 57.1%.The duct calculus was 81.2%.Conclusion：ERCP,to the bile duct calculus;the malgnant tumors of bile duct and the carcinoma of ampulla are superior to B-mode ultrasonic and CT.