论文部分内容阅读
目的 探讨ERCP对壶腹周围癌的早期诊断价值和合理应用。方法 对我院1997年1月至2002年12月收治的21例典型的壶腹周围癌患者的临床特点和ERCP检查资料进行回顾性统计分析。结果 所有病例均经剖腹手术和病理检查证实为壶腹周围癌,90.5％的患者出现上腹饱胀不适的时间早于黄疸1～2个月,壶腹周围癌的ERCP直接、间接征象和特征性改变明显。结论 重视壶腹周围癌早期非特异性症状,若B超发现阳性征象,应及时、合理地应用ERCP检查,同时结合CT、MRCP等其他影像学方法以达到早期诊断的目的。
Objective To investigate the early diagnostic value and rational application of ERCP in periampullary carcinoma. Methods The clinical features and ERCP examination data of 21 cases of typical carcinoma of the ampulla of our hospital from January 1997 to December 2002 were retrospectively analyzed. Results All the cases were proved to be ampullary carcinoma by laparotomy and pathological examination. 90.5% patients had upper abdominal full discomfort for 1 ~ 2 months earlier than jaundice. The direct and indirect ERCP signs and characteristics of periampullary carcinoma Sexual changes significantly. Conclusion The early non-specific symptoms of periampullary carcinoma are emphasized. If the positive signs of B-ultrasound are found, ERCP examination should be applied in a timely and reasonable manner, and combined with CT, MRCP and other imaging methods to achieve the purpose of early diagnosis.