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作者报告84例由活检已证实胰腺和胆道的恶性疾病患者,通过内窥镜的逆行胆管胰腺造影研究所得的 X 线发现。84例中除9例外均有黄疸。无黄疸病人中6例有胰腺癌,且是为了下列原因而作研究的:显著的体重减轻、腹痛或上消化道方面十二指肠畸形。1例加之先前有胰腺假性囊肿手术引流史。另3例无黄疸病人均有肝脏转移。研究成功的73例中能作出肿瘤诊断的计67例(92%)。43例胰腺癌患者中40例研究成功,其中37例根据胰管的狭窄或梗阻能作出诊断。另3例有异常的胰腺造影,但鉴别慢性胰腺炎与肿瘤是不可能的。值得注意的是,14例有胰管梗阻,16例有胰管狭窄。7例作出胰腺癌的诊断是根据总胆管畸
The authors report 84 patients with malignant lesions of the pancreas and biliary tract who have been confirmed by biopsy. The X-ray findings were obtained by endoscopic retrograde cholangiopancreatography. Among the 84 cases, except for 9 exceptions, there were jaundice. Six of the patients without jaundice had pancreatic cancer and were studied for the following reasons: Significant weight loss, abdominal pain or duodenal deformity in the upper gastrointestinal tract. One patient had a previous history of surgical drainage of pancreatic pseudocysts. The other 3 patients without jaundice had liver metastases. Of the 73 patients who successfully completed the study, 67 (92%) were able to make a tumor diagnosis. Forty-three of 43 cases of pancreatic cancer were successfully studied, of which 37 cases were diagnosed based on stenosis or obstruction of the pancreatic duct. The other 3 cases had abnormal pancreatic angiography, but it was impossible to identify chronic pancreatitis and tumors. It is worth noting that 14 cases had pancreatic duct obstruction and 16 cases had pancreatic duct stenosis. 7 cases of pancreatic cancer were diagnosed according to total bile duct malformation