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原发性硬化性胆管炎内镜超声诊断分析
引用本文:赖苇,崔毅,杨盈霞,张鸿青,罗志刚,李林. 原发性硬化性胆管炎内镜超声诊断分析[J]. 昆明医学院学报, 2012, 33(2): 130-131,137
作者姓名:赖苇  崔毅  杨盈霞  张鸿青  罗志刚  李林
作者单位:1. 昆明市第一人民医院,云南,昆明,650011
2. 中山大学第一附属医院内镜科,广东,广州,510080
3. 李林诊所,云南,昆明,650031
摘    要:
目的 探讨经内镜超声扫描(endoscopi ultrasonography,EUS)对原发性硬化性胆管炎的诊断价值.方法 对中山大学附一院确诊为原发性硬化性胆管炎(primary sclerosing cholangitis,PSC)的8例患者进行EUS检查,对其影像学资料进行回顾性分析.结果 8例胆总管管壁全周性增厚(厚度≥2.5 mm)、管腔狭窄变细,3例胆管壁回声增强,肝内胆管轻度扩张4例,胆囊体积增大2例,胆囊壁均无增厚;肝门淋巴结增大4例,门静脉轻度扩张1例.结论 内镜超声在胆管疾病的诊断上可有良好的应用前景.

关 键 词:原发性硬化性胆管炎  内镜超声检查  分析

The Analysis of Endoscopic Ultrasonography Characteristics in Patients with Primary Sclerosing Cholangitis
LAI Wei , CUI Yi , YANG Ying-xia , ZHANG Hong-qing , LUO Zhi-gang , LI Lin. The Analysis of Endoscopic Ultrasonography Characteristics in Patients with Primary Sclerosing Cholangitis[J]. Journal of Kunming Medical College, 2012, 33(2): 130-131,137
Authors:LAI Wei    CUI Yi    YANG Ying-xia    ZHANG Hong-qing    LUO Zhi-gang    LI Lin
Affiliation:Medical Clinic,Kunming Yunnan 650031,China)
Abstract:
Objective To evaluate the value of Endoscopic Ultrasonography in diagnosis of primary sclerosing cholangitis.Method We performed retrospective analysis on EUS images of 8 cases proven primary sclerosing cholangitis.Results The whole common bile duct wall of 8 cases were thickening and lumens were narrow.Bile duct wall of 3 cases were echo enhancement,intrahepatic bile ducts of 4 cases were mild ectasia,gallbladder volume of 2 cases were augmentation,Portal lymph node of 4 cases were enlargement,Portal Vein of 1 case was slightly ectasia.Conclusion Endoscopic Ultrasonography has good prospects in diagnosis of bile duct diseases.
Keywords:Primary sclerosing cholangitis  Endoscopic ultrasonograph  Analysis
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