ERCP在胆胰疾病中的诊断价值.doc

临床医学论文-ERCP在胆胰疾病中的诊断价值
【关键词】  ERCP
    摘要:目的:总结ERCP在胆胰疾病诊断中的经验。方法:回顾分析450例临床经ERCP诊断的胆道和胰腺疾病。结果:ERCP检查成功率94%,ERCP对胆管癌、胆总管囊肿和壶服部癌的确诊率均为100%。对胆管结石的确诊率为95%。而B超;CT联合诊断胆管癌为38%;壶服部癌为54%;胆管结石为81%,P<。结论:ERCP对胆管结石、胆管癌和壶服部癌的诊断优于B超和CT。
    关键词:ERCP;胆管;胰腺
    The Diagnostic Value of Endoscopic Retrograde Cholangiopancreatography in Diseases of the Pancrease and Biliary Tract
       Abstract: Objective: Summarizes ERCP experience in the diagnosis on disease of pancreatic and choledochus’diseases. Method: We reviewed and analysed 450 clinical biliary tract and pancreatic disease diagnosed by ERCP. Result: ERCP checked 94% of ess rate finally, ERCP, the definite diagnosis rate to the malignant tumors of the bile duct; the congenital biliary cystic dilatation; the carcinoma of ampulla is 100% . The definite diagnosis rate to the bile duct calculus is 95%. And B ultrasonic wave, CT jointly diagnoses the malignant tumors of the bile duct is 38%; the carcinoma of ampulla is 54%; The bile duct calculus is 81%. P<0. 05. Conclusion: ERCP, to the bile duct calculus; the malignant tumors of the bile duct and the carcinoma of ampulla are superior to B ultrasonic wave and CT.
    Key words:ERCP;Biliary tract;Pancrease
    我院从2000年至2003年共对450例胆道和胰腺疾病施行了ERCP检查和治疗,现将相关临床体会总结如下:
    1资料及方法
    :本组450例,男,220例;女,230例。年龄20~84岁,平均56岁。临床症状表现有不同程度的右上腹疼痛和或黄疸、发热、纳差、乏力和腰背痛等,均经B超及CT检查,其中胆道疾病占79%;胆管