摘要
目的分析肝外胆管癌内镜逆行胰胆管造影(ERCP)影像学特点,评估ERCP对胆管癌诊断的临床价值。方法90例肝外胆管癌患者作为观察组,以104例良性梗阻性黄疸患者作对比,行十二指肠镜ERCP检查时仔细观察十二指肠乳头及周围组织结构情况,并在注入造影剂同时观察肝内外胆管显影的过程和胆管充盈情况,对病变部位的影像学特征加以分析。结果80例肝外胆管癌患者插管成功率为88.9%,低于对照组,两组差异有统计学意义(P<0.05),且不同病变部位内镜下表现及X线影像学均有不同特征,明显不同于对照组。结论通过ERCP检查及影像学特点的分析,可对肝外胆管癌做出明确诊断,协助临床进一步行有效治疗。
Objective To evaluate the clinical values of the endoscopic retrograde cholangiopancreatography（ERCP） by analyzing the medical imaging characteristics of patients with cholangiocarcinoma.Methods Ninety patients with cholangiocarcinoma in observation group were investigated by ERCP.There were 104 patients with innocence biliary obstruction as controls.The appearance of ampulla was checked,the imaging of biliary tract,and the medical imaging characteristics were observed.Results Eighty patients with cholangiocarcinoma completed the examination with the successful rate 88.9%,there were difference images of endoscopy and X-ray at the different biliary obstructive positions.And the difference was significant compared with that of control group （P0.05）.Conclusion Cholangiocarcinoma can be diagnosed by analysis of medical imaging characteristics of ERCP,so that it can be treated effectively.
出处
《临床荟萃》
CAS
2009年第24期2138-2140,F0003,共4页
Clinical Focus
关键词
胆管肿瘤
胆管
肝外
十二指肠镜检查
bile duct neoplasms
bile ducts
extraheptic
duodenoscopy
