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经内镜逆行胰胆管造影术(endoscopic retrograde cholangio pancreatography,ERCP),是经十二指肠镜观察十二指肠降段乳头及其开口,在直视下插人造影导管,注入造影剂后,在X线下显示胆系和胰管形态的综合诊断方法。Mcune(1986年)首次报道此项技术,迄今已历经30余年,现已成为诊断胰胆疾病重要的方法之一,并逐渐发展到在一定范围内替代外科手术治疗,堪称人类医学史上的一次革命。随着内镜的改进和插管技术的提高,造影成功率亦有显著提高。但临床上常常遇到某些先天性或因病变导致解剖结构改变的情况,使部分经验不足的医师感到困难,本文就ERCP中的特殊情况结合临床体会,作一简介。
Endoscopic retrograde cholangio pancreatography (ERCP) is a duodenal endoscopic descending duodenal papillae and its opening, under direct vision inserted into the contrast catheter, injection of contrast agent, Under the X-ray showed biliary and pancreatic duct morphology of a comprehensive diagnostic method. Mcune (1986) reported for the first time that this technique, which has been in existence for more than 30 years, has now become one of the important methods of diagnosing pancreaticobiliary disease and has gradually evolved into a surrogate surgical treatment within a certain range, which is once in the history of human medicine revolution. With the improvement of endoscopy and intubation techniques, imaging success rate has also increased significantly. However, some congenital or clinical lesions often lead to changes in the anatomy of the situation, so that some inexperienced physicians feel difficult, this article on the special circumstances of ERCP clinical experience, make a brief introduction.