| ERCP联合胆道微结石检查在急性胆管炎中的诊断价值 |
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| 引用本文： | 邱全兴,沈云志,张丽霞. ERCP联合胆道微结石检查在急性胆管炎中的诊断价值[J]. 中国消化内镜, 2008, 0(1): 31-34 |
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| 作者姓名： | 邱全兴 沈云志 张丽霞 |
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| 作者单位： | 常州市第一人民医院消化内科;213003; |
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| 摘 要： | 目的 探讨ERCP联合胆道微结石检查在即性胆管炎中的临床价值。方法 对于54例急性胆管炎患者，常规行B超、CT或MRCP检查，经ERCP或ENBD收集患者的胆汁，通过普通和偏光显微镜查找微结石。结果 54例患者常规检查（B超、CT或MRCP）提示36例胆总管结石或扩张，18例无明显异常。54例患者均行ERCP，其中5例急诊行ENBD治疗，3例ERCP插管失败；ERCP提示35例胆总管结石，4例胆总管下端炎性狭窄，12例未见明显异常；在12例无明显异常的患者中，9例在偏光显微镜下检测有胆道微结石（大多为胆固醇单水结晶）。与常规检查组、ERCP组比较，联合检查组大大提高了结石阳性检出率，统计学比较具有显著性差异（P〈0．05）。结论ERCP联合镜下查找微结石可以提高胆道结石的诊断率；不明原因的急性胆管炎与胆道微结石密切相关。
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| 关 键 词： | 胆道微结石 偏光显微镜 急性胆管炎 ERCP |
Clinical Application of ERCP and Biliary Microlithiasis Exploration in Acute Cholangitis |
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| QIU Quan-xing SHEN Yun-zhi ZHANG Li-xia Digestive. Clinical Application of ERCP and Biliary Microlithiasis Exploration in Acute Cholangitis[J]. Digestive Disease and Endoscopy, 2008, 0(1): 31-34 |
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| Authors: | QIU Quan-xing SHEN Yun-zhi ZHANG Li-xia Digestive |
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| Affiliation: | QIU Quan-xing SHEN Yun-zhi ZHANG Li-xia Digestive Department of the First People's Hospital,Changzhou,213003,China |
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| Abstract: | Objective: To study on the clinical application of ERCP combined with microlithiasis exploration in acute cholangitis. Methods: The clinical data of consecutive 54 cases of acute cholangitis were analyzed. Before ERCP, all cases were examined by routine examinations, including abdominal ultrasonography computer tomography (CT) or magnetic resonance cholangiopancreatography (MRCP).To collect the bile through endoscopic retrograde cholangiopancreatography (ERCP) or endoscopic nasobiliary drainage (ENBD), then... |
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| Keywords: | Billiard microlithiasis Polarization microscope Acute cholangitis ERCP |
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