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目的探讨内镜逆行胰胆管造影（ERCP）的操作技巧、安全性及对胰胆管疾病的诊断价值。方法1992年15月-1997年10月对170例患者用OlympusJF-20纤维十二指肠镜从Vater壶腹乳头处进行插管注射造影剂，使胰胆管在X线下显影。结果本组总成功155例（91．2％），疾病检出率80％，其中胆道结石占44.5％，胆总管扩张占12．9％，胰腺炎占9.6％，其它疾病较少见。并发症4例（2．4％），均无严重后果。结论ERCP对黄疽、腹痛、胰胆管疾病的诊断和鉴别诊断均有较高价值，并且是种安全可靠的检查方法。
Objective To investigate the operation skills, safety and diagnostic value of endoscopic retrograde cholangiopancreatography (ERCP) in pancreaticobiliary duct disease. Methods From July 1992 to October 1997, 170 patients were injected with contrast agent through the ampulla of Vater through Olympus JF-20 fiber duodenoscope. The pancreatic duct was developed under X-ray. Results The total success rate of 155 cases (91.2%) in this group was 80%. Among them, biliary stones accounted for 44.5%, common bile duct dilatation accounted for 12.9% and pancreatitis accounted for 9.6%. Other diseases were rare. Complications in 4 cases (2.4%), no serious consequences. Conclusion ERCP has high value in the diagnosis and differential diagnosis of jaundice, abdominal pain and pancreaticobiliary diseases, and is a safe and reliable method.