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自1983年1月至1988年2月普遍应用内镜逆行胰胆管造影(ERCP)945例(1000例次)以来,体会到此项检查具有对胰胆疾病诊断的清楚图像,病变定位准确,亦有提示病变性质、病变范围和估价预后的作用,并且是唯一能在内镜直视下诊断十二指肠乳头部病变的重要手段。现将胰管总显影518例(54.8%)中有胰腺及乳头部诊断价值,并经手术、病理证实的53例进行总结。着重分析其X线的表现特点及十二指肠乳头和开口形态,并略谈插管经验。
Since 945 cases (1000 cases) of endoscopic retrograde cholangiopancreatography (ERCP) were widely used from January 1983 to February 1988, they have realized a clear image of the diagnosis of pancreatic and biliary diseases, and have accurately located lesions. It has the function of prompting the nature of the lesions, the extent of lesions, and the evaluation of prognosis, and is the only important means for diagnosing duodenal papillary lesions under endoscopy. The diagnosis of pancreatic and papillary was found in 518 cases (54.8%) of total pancreatic ducts, and 53 cases were confirmed by surgery and pathology. The analysis focused on the performance characteristics of the X-rays and duodenal papilla and opening morphology, and talked about intubation experience.