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ERCP对不明原因上腹痛的诊断价值
引用本文:冯百岁,陈永忠. ERCP对不明原因上腹痛的诊断价值[J]. 医药论坛杂志, 2007, 28(18): 15-16
作者姓名:冯百岁  陈永忠
作者单位:郑州大学第一附属医院消化内科,郑州,450052;郑州大学第一附属医院消化内科,郑州,450052
摘    要:目的 ERCP在不明原因上腹痛中的诊断价值.方法 对134例不明原因上腹痛患者资料进行回顾性分析,并结合ERCP及不同诊断手段进行对比分析.结果 行ERCP检查以前误诊为慢性胃炎:48例,占35.82%;慢性胆囊炎:36例,占26.87%;慢性胰腺炎:16例,占11.94%.行ERCP检查后确诊胆囊及胆总管结石69例,占51.49%;胆总管炎性狭窄及oddis括约肌功能障碍36例,占26.87%.结论 ERCP检查明显提高了不明原因的上腹痛的确诊率,具有重要价值.

关 键 词:ERCP  上腹痛  诊断
文章编号:1672-3422(2007)18-0015-02
修稿时间:2007-07-28

Diagnostic Value of ERCP to Unclear Upper Abdominal Pain
FENG Baisui,CHEN Yongzhong. Diagnostic Value of ERCP to Unclear Upper Abdominal Pain[J]. Journal of Medical Forum, 2007, 28(18): 15-16
Authors:FENG Baisui  CHEN Yongzhong
Affiliation:Department of Digestive Medicine, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China
Abstract:Objective Diagnostic value of ERCP(endoscopic retrograde cholangiopancreatography) to unclear upper abdominal pain.Methods Retrospectively analyze 134 cases of unclear cause of upper abdominal pain,contrast analyze them with ERCP and other diagnostic methods.Results Before the cases were examed by ERCP,48 cases chronic gastritis(35.82%),36 cases of chronic cholecystitis(26.87%),16 cases of chronic pancreatitis(11.94%) were misdiagnosed;after the cases were examed by ERCP,69 cases of cholecystis and common duct stones(51.49%),36 cases of choledochitis stenosis and oddis sphincter dysfunction(26.87%) were finally diagnosed.Conclusion ERCP obviously increases definite diagnostic rate of unclear cause upper abdominal pain.
Keywords:ERCP  Upper abdominal pain  Diagnosis
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