摘要
目的:探讨ERCP后加做肝胆胰CT对肝外胆道梗阻病因的诊断价值。材料和方法:24例肝外胆道梗阻病人,经ERCP造影后立即进行CT扫描,应用MPR技术充分显示胆道及其周围情况。结果:24例中,胆管癌5例,胰头癌7例,壶腹癌1例,胆总管下端结石9例,胆总管炎2例,均经手术证实,无假阳性及假阴性。结论:ERCP后加做肝胆胰CT及MPR是诊断肝外梗阻性黄疸的一种可靠手段。
Objective:To study the value in revealing the cause of extrahepatic bile duct obstruction diagnosed by CT scanning of liver,gallbladder and pancreas after ERCP.Materials and Methods:24patients with extrahepatic bile duct ob-struction were immediately examinated by CT with multiplanar reconstruction technique (MPR)after ERCP.The bile ducts and their surroundings were shown great clearness.Results:In the24cases,one case was ampulla of Vater cancer,5cases were biliary duct cancer,7cases were carcinoma of the pancreatic head,in9cases there were stones in the distal common bile duct and2cases were inflammation of the common bile duct,all of them were proved by means of operation without false positive and false negative.Conclusions:The liver,gallbladder and pancreas examinated by CT with MPR after ERCP is a reliable method in diagnosing the cause of the extrahepatic obstructive jaundice.
出处
《中国临床医学影像杂志》
CAS
2002年第1期29-31,共3页
Journal of China Clinic Medical Imaging
