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目的:探讨内镜逆行胰胆管造影术的疗效评价。方法:回顾分析123例患者内镜逆行胰胆管造影术的治疗效果。结果:123例患者中插管并造影成功121例,失败2例,显影未发现异常10例。造影发现胆总管结石62例,超氧化物歧化酶(SOD)18例,硬化性胆管炎4例,胆管癌18例,胰头癌3例,壶腹癌1例,胰管结石2例,胆总管囊肿1例,慢性胰腺炎2例。62例胆管结石患者行十二指肠乳头切开术(EST)后1次性成功取净结石59例,造影确诊胆管癌18例。结合上腹部CT等检查确诊胰头癌3例,均置入胆道塑料支架。造影并经镜下活检确诊壶腹癌1例。术后并发胰腺炎4例,EST术中并发出血3例,术后并发大出血1例。结论:经内镜逆行胰胆管造影术(ERCP)是胆道疾病、胰腺炎、胰腺癌、胆胰管先天畸形等疾病的重要诊治方法之一,其特点主要在于患者痛苦小、花费少、并发症少、恢复快,特别适合不能耐受外科手术的年老体弱及胆胰肿瘤丧失外科手术机会的患者。
Objective: To evaluate the efficacy of endoscopic retrograde cholangiopancreatography. Methods: Retrospective analysis of 123 cases of endoscopic retrograde cholangiopancreatography. Results: Among the 123 patients, 121 cases were successfully intubated and angiographically failed, 2 cases failed, and no abnormalities were found in 10 cases. Angiography found 62 cases of common bile duct stones, 18 cases of superoxide dismutase (SOD), 4 cases of sclerosing cholangitis, cholangiocarcinoma in 18 cases, 3 cases of pancreatic cancer, ampullary carcinoma in 1 case, pancreatic duct stones in 2 cases, gallbladder 1 case of cystic duct, 2 cases of chronic pancreatitis. Sixty-two patients with bile duct stones underwent one-time successful net prostatic esophagectomy (EST) with 59 stones and 18 cholangiocarcinomas confirmed by contrast. Combined with upper abdominal CT examination confirmed pancreatic cancer in 3 cases, were placed in biliary plastic stent. Angiography and biopsy confirmed by ampullary carcinoma in 1 case. Postoperative complications of pancreatitis in 4 cases, EST in 3 cases of bleeding complicated by postoperative complications of bleeding in 1 case. Conclusion: Endoscopic retrograde cholangiopancreatography (ERCP) is one of the important diagnosis and treatment methods for biliary tract diseases, pancreatitis, pancreatic cancer and congenital malformation of bile duct and pancreatic duct. The main features of ERCP are the small pain, low cost, complications Less, faster recovery, especially for patients who can not tolerate surgery, frail and gallbladder tumors loss of surgical opportunities.