| 恶性梗阻性黄疸的ERCP与CT对照分析 |
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| 引用本文： | 程红岩,贾雨辰,周岱云,龚彪,胡冰.恶性梗阻性黄疸的ERCP与CT对照分析[J].中国医学影像学杂志,1996(2). |
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| 作者姓名： | 程红岩 贾雨辰 周岱云 龚彪 胡冰 |
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| 作者单位： | 第二军医大学长海医院东方肝胆外科研究所影像科 |
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| 摘 要： | 本文对比分析了８２例恶性梗阻性黄疸（包括胆管癌４５例，转移性癌２６例，胰头癌６例及壶腹周围癌５例）的ＥＲＣＰ与ＣＴ表现，主要发现：恶性胆管梗阻部位多位于肝外胆管近侧段；肝外胆管近侧段梗阻所致的肝内胆管重度扩张的发生率，远多于远侧段阻塞，在反映肝内胆管扩张程度、扩张范围方面ＣＴ优于ＥＲＣＰ，而显示病灶肿块直接征象方面ＥＲＣＰ优于ＣＴ。
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| 关 键 词： | 胆管阻塞 胰胆管造影术，内窥镜逆行 断层摄影术，X线计算机 |
A Comparative Analysis of ERCP and CT in Malingant Obstructive jaundice |
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| Cheng Hongyan, Jia Yuchen, Zhou Daiyun, Gong Biao, Hu Bing.A Comparative Analysis of ERCP and CT in Malingant Obstructive jaundice[J].Chinese Journal of Medical Imaging,1996(2). |
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| Authors: | Cheng Hongyan Jia Yuchen Zhou Daiyun Gong Biao Hu Bing |
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| Abstract: | The CT and ERCP features were comparatively analysed in 82 cases of malignant obstructive jaundice caused by biliary primary carcinoma in 45 cases, metastatic carcinoma in 26 cases, and ampulla of Vater carcinoma in 5 cases,as well as pancreatic carcinoma in 6 cases. It was found that the biliary obstruction was mainly located in the proximal segment of extrahepatic bile tract; the incidence of intrahepatic duct dilatation with severe degree caused by obstruction of proximal extrahepatic tract was much higher than that in distal obstruction, On showing the widespread and degree of intrahepatic biliary dilatation,CT is better than ERCP. but on detecting the tumor mass imaging features,ERCP is superior to CT. |
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| Keywords: | malignant biliary obstruction endoscopic retrograde cholangiopancreatography tomography X-ray computed |
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