十二指肠乳头部肿瘤，属壶腹部病变，临床上常以黄疽、发热、腹痛、间断黑便、皮肤病痒等症状就诊。对该病的直接诊断比较困难，以往多在梗阻性黄疽病人手术探查中发现。十H指肠锐问世和开展ERCP检查以来，该病变可获得直接诊断［’，‘］。自198o年以来，在临床中共发现63例， Tumor of the duodenal papilla, which is a disease of the ampulla, often presents with clinical symptoms such as jaundice, fever, abdominal pain, intermittent melena, and pruritus. The direct diagnosis of the disease is more difficult, in the past more often found in surgical exploration of obstructive jaundice patients. Ten H refers to the acute invasion of the bowels and the ERCP examination, the lesion can be directly diagnosed [’, ‘]. Since 198o, 63 cases have been found in clinical