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梗阻性黄疸是临床上的常见多发病,引起梗阻性黄疸多为胰胆疾病,而内镜逆行胰胆管造影(ERCP)是诊断胰胆疾病的重要方法。我院1993年至1997年共作ERCP494例,其中资料完整的梗阻性黄疸145例,占29.4％,现介绍如下。 1 临床资料 梗阻性黄疸145例,男94例,女51例,男女之比为1.8:1,年龄最大82岁,最小22岁,平均53.8岁。肝内外胆管结石或总胆管结石87例,占60％,胆管癌28例,占19.3％,胰腺癌15例,占10.3％,壶腹癌8例,占5.5％,胆囊癌2例,占1.4％,肝癌、原发性硬化性胆管炎、十二指肠降段大憩室、总胆管结扎各1例,各占0.6％,插管失败1例。
Obstructive jaundice is a common clinical disease, causing obstructive jaundice mostly pancreatic disease, and endoscopic retrograde cholangiopancreatography (ERCP) is an important method of diagnosis of pancreaticobiliary disease. Our hospital from 1993 to 1997 a total of ERCP494 cases, of which 145 cases of complete obstructive jaundice, accounting for 29.4%, are described below. 1 clinical data obstructive jaundice in 145 cases, 94 males and 51 females, male to female ratio of 1.8: 1, the oldest is 82 years old, the youngest 22 years old, with an average of 53.8 years old. Intrahepatic bile duct stones or choledocholithiasis 87 cases, accounting for 60%, cholangiocarcinoma in 28 cases, accounting for 19.3%, pancreatic cancer in 15 cases, accounting for 10.3%, ampulla carcinoma in 8 cases, accounting for 5.5%, gallbladder carcinoma in 2 cases, accounting for 1.4 %, Liver cancer, primary sclerosing cholangitis, duodenal descending diverticulum, total bile duct ligation in 1 case, each 0.6%, intubation failure in 1 case.