摘要
目的 探讨内镜逆行胆胰管造影 (ERCP)对胆囊切除术后综合征病因诊断中的应用价值。方法 对 115例临床诊断为胆囊切除术后综合征的患者行ERCP检查 ,以明确病因。结果 115例病人插管成功10 6例 ,成功率 92 .5 % ,胆道结石 6 1例 ,胆道扩张 34例 ,胆管狭窄 2 1例 ,胆囊管残留过长 6例 ,胆道十二指肠瘘 3例 ,胆道癌 2例 ,胆道未见异常 12例。结论 ERCP是明确胆囊切除术后综合征病因较为理想和可靠的方法 ,对临床诊断为胆囊切除术后综合征的患者 。
Objective:To evaluate the value of endoscopic retrograde cholangiopancreatography (ERCP) in etiological diagnosis of postcholecystectomy syndrome(PCS).Methods:ERCP was performed in 115 patients with PCS to identify the etiology of PCS.Results:ERCP was succeeded in 106 cases (92.5%),biliary stone in 61 cases,dilatation and stricture of bile duct in 34 and 21 cases,long cholocystic ductal nemnant in 6 cases,3 patients had bile leakage and 2 had biliary carcinoma. Twelve cases had no abnormal endoscopic findings view.Conclusions: ERCP can find out the defenite cause of PCS.The authors suggested the patients with PCS should received the ERCP.
出处
《中国内镜杂志》
CSCD
2003年第10期44-46,共3页
China Journal of Endoscopy
关键词
内镜逆行性胆胰管造影
胆囊切除术后综合征
诊断
Endoscopic Retrograde Cholangiopancreatography
Postcholecystectomy Syndrome
Diagnosis
