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内镜下逆行胰胆管造影术(ERCP)仍是目前诊断胰胆疾病的金标准,但ERCP术后胰腺炎不可避免。自从出现磁共振胰胆管造影(MRCP)以来,MRCP已被广泛应用于临床,具有代替诊断性ERCP的潜在可能性。但目前MRCP设备尚不普及,和ERCP相比,MRCP图象不十分理想。随着技术进步,诊断性ERCP应用有可能逐渐减少,成为取得组织学、细胞学标本和功能研究的方法。 1 ERCP影象诊断自1968年Mccune et al首次报道ERCP在胰胆系疾病中的临床应用以来,ERCP作为诊断胰胆系疾病的金标准已在临床应用多年,其诊断价值得到公认,ERCP所获得的胆管形态
Endoscopic retrograde cholangiopancreatography (ERCP) is still the gold standard for the diagnosis of pancreaticobiliary disease, but pancreatitis after ERCP is inevitable. Since the advent of magnetic resonance cholangiopancreatography (MRCP), MRCP has been widely used clinically, with the potential to replace the diagnostic ERCP. However, the current MRCP equipment is not yet widely used, and MRCP images are not very satisfactory compared to ERCP. As technology advances, the use of diagnostic ERCP is likely to diminish and become a means of obtaining histological, cytological specimens and functional studies. 1 ERCP imaging diagnosis Since 1958, Mccune et al first reported ERCP clinical application in pancreaticobiliary disease, ERCP as the gold standard in the diagnosis of pancreaticobiliary disease has been in clinical use for many years, its diagnostic value has been recognized, ERCP obtained Bile duct morphology