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对临床疑为梗阻性黄疸的患者共72例,行内镜逆行胰胆管造影(ERCP)检查,结果分析如下:胰胆管显影正常者12例,异常者49例,插管失败者5例,造影缺陷无法诊断者6例。插管造影成功率93.4％。诊断有效率86.1％。总计49例肝外梗阻性黄疸患者中,胆管结石最多,共27例。占53.1％。乳头及总胆管炎性狭窄共12例,占24.5％,胰管肿瘤共6例,占12.2％。胆道蛔虫及胆管术后狭窄共4例,占10.2％。鉴于以上总结分析,我们认为经内镜逆行胰胆管造影对梗阻性黄疸的临床诊断具有重要价值。
The clinical suspicion of obstructive jaundice in patients with a total of 72 cases, endoscopic retrograde cholangiopancreatography (ERCP) examination, the results are as follows: 12 cases of normal pancreaticobiliary imaging, 49 cases of abnormalities, intubation failure in 5 cases, angiography 6 cases of defects can not be diagnosed. Intubation imaging success rate of 93.4%. The diagnostic efficiency of 86.1%. A total of 49 patients with extrahepatic obstructive jaundice, bile duct stones up to a total of 27 cases. Accounting for 53.1%. Nipple and cholangitis stenosis in 12 cases, accounting for 24.5%, a total of 6 cases of pancreatic cancer, accounting for 12.2%. Biliary ascariasis and biliary stricture in 4 cases, accounting for 10.2%. In view of the above summary analysis, we believe that endoscopic retrograde cholangiopancreatography is of great value in the clinical diagnosis of obstructive jaundice.