内镜逆行胰胆管造影诊断胰腺癌：附119例分析

笔者通过ＥＲＣＰ（内镜逆行胰胆管造影）检查的１１９例胰腺癌分析．详述了胰腺癌的ＥＲＣＰ表现，提出了ＥＲＣＰ诊断胰腺癌的六型分类法，即：（１）主胰管闭塞型；（２）主胰管狭窄型；（３）主胰管筛孔状破坏型；（４）主胰管受压移位型；（５）胆管梗阻型；（６）主胰管正常型，本组ＥＲＣＰ插管成功率为９３．３％，诊断胰腺癌的敏感性和准确性分别为８９．７％和９４．６％，比同组Ｂ超和ＣＴ高。作者认为，ＥＫＣＰ应作为胰腺癌术前诊断的主导方法。但是，若将Ｂ超、ＥＲＣＰ和ＣＴ合理地结合，术前诊断正确率可进一步提高（本组提高到了１００％）。

Diagnosis of Pancreatic Carcinoma by ERCP

The FRCP findings of 119 patients with pancreatic carcinoma Were analysed in detail.Based on ERCP findings,the authors suggested a new classification for pancreatic carcinoma in-cluding 6 types:(1)main pancreatic duct obstruction;(2)main pancreatic duct stenosi;(3)the ethmoidal corrosion of main pancreatic duct;(4)displacement of pancreatic duct;(5)common bile duct obstruction;(6)normal appearance of main pancreatic duct.The technical successful rate was 93.3%in this series.The sensitivity and accuracy in diagnosing pancreatic carcinoma was 89.7%and 94.6% respectively, higher than those of B-US and CT. The authors believed that ERCP should be the prima-ry method for diagnosing a pancreatic carcinoma, The diagnostic accuracy can further be improved when ERCP is combined with B-US /CT and PTC. A diagnostic procedure was recommended by the authors for pancreatic carcinoma.