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两例壶腹肿瘤,上胃肠道摄片和十二指肠镜检阴性,而行内窥镜逆行性胰胆管造影(ERCP)及荧光屏下作壶腹内活检,作出早期诊断,并与其他肿瘤相鉴别。例1:68岁女性,因上腹和右上腹疼痛5年入院。以前已诊断为慢性复发性胰腺炎。入院前3周腹痛加剧伴恶心,除深触诊时轻度右上腹压痛外,余无特殊。ERCP 检查时见到总胆管扩大及其肝内的分
Two cases of ampulla tumors, upper gastrointestinal tract and duodenal microscopy were negative, and endoscopic retrograde cholangiopancreatography (ERCP) and fluorescein underwent intra-abdominal biopsy for early diagnosis, and with other tumors Differentiate. Example 1: A 68-year-old female was hospitalized for 5 years due to pain in the upper abdomen and right upper quadrant. It has been diagnosed as chronic recurrent pancreatitis. At 3 weeks before admission, abdominal pain increased with nausea. Except for mild tenderness in the right upper quadrant, there was no special pain. General bile duct enlargement and intrahepatic scores seen during ERCP examination