论文部分内容阅读
目的：探讨胰管结石的Ｘ线特征和放射学诊断。方法：回顾性分析９例胰管结石病人的Ｘ线资料（腹部平片、ＣＴ、ＥＲＣＰ）及误诊原因。结果：Ｘ线特征为（１）腹部平片见上腹部胰腺走行区域致密钙化阴影；（２）ＣＴ片见胰头部大片状高密度钙化斑，并胰管扩张；（３）ＥＲＣＰ胰管扩张粗细不均，胰管内有透明阴影。误诊原因：主观上对本病认识不足，客观上鉴别诊断有难度。结论：只要我们提高对胰管结石疾病的认识，注意其Ｘ线特征，就不难做出正确的放射学诊断。
Objective: To investigate the X-ray features and radiological diagnosis of pancreatic duct stones. Methods: X-ray data (plain film, CT, ERCP) and misdiagnosis of 9 cases of pancreatic duct stones were analyzed retrospectively. Results: The X-ray features were (1) dense calcified shadows of pancreas in upper abdomen on plain radiographs; (2) large high-density calcified plaque on pancreatic head and pancreatic duct dilatation; (3) ERCP pancreatic duct Uneven expansion of thickness, pancreatic duct has a transparent shadow. Misdiagnosis reasons: Subjective lack of understanding of the disease, the objective differential diagnosis is difficult. CONCLUSIONS: As long as we raise our awareness of pancreatic duct stones and pay attention to their X-ray features, it is not difficult to make the correct radiological diagnosis.