内镜逆行胰胆管造影65例回顾

本文对65例胰胆管造影(ERCP)结果进行了分析。成功率为80.00%。检出胆石症25例,胆道感染7例,壶腹癌2例,胆管癌2例和慢性胰腺炎2例。诊断符合率为81.48%,其中胆道梗阻诊断符合率为92.10%。提高插管及显影成功率是关键,按解剖特点灵活调整体位是核心。与B超对比ERCP在肝外胆管结石及壶腹区占位诊断上较优在胆囊结石诊断上优于ERCP,两者互补可提高诊断符合率。

Analysis of 65 Cases of Endoscopic Retrograde Cholangic-Pancreatography (ERCP)

This paper analyses the conclusion of ERCP of 65 cases. The rate of success was 80% (52/ 65).25 cases of cholelithiasis,7 cases of bile duct infection, and 2 cases of ampullar carcinoma, cholangio-carcinoma and chronic pancreatitis. The diagnostic accordance rate which ERCP orresponds with clinical' s was 81. 48%, and 92.1% (35/38) for obstruction of bile duct It' s very important to improve the successful rate of inserting duct and bile duct visu-lizes and change patitent's body position intelligently according to anatomic nature of bile duct. It is verified that ERCP was superior to ultrasonography (USG) in diagnosing calculi of extrahepatic bile duct and the occupying lesion of Vater' s ampuller region ; in turn, USG was superior to ERCP in finding out calculi of gallbladder. So we could elevate the corresponding diagnosis ratio by combination ERCP with USG.