| 曹涛,张泰昌,朱美中,耿喜成,杨丽,周丽萍.ERCP对225例梗阻性黄疸的诊断分析[J].中国医学影像技术,1997,13(3):249~250 |
| ERCP对225例梗阻性黄疸的诊断分析 |
| Diagnosis and Analysis of 225 cases of Obstructive Jaundice Examined by ERCP |
| 投稿时间：1996-01-23 |
| DOI： |
| 中文关键词: ERCP 梗阻性黄疸 诊断 |
| 英文关键词:ERCP obstructive jaundice diagnosis |
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| 中文摘要: |
| 探讨ERCP对梗阻性黄疸的病因诊断和并发症的防治。对临床诊断梗阻性黄疸的225例患者做ERCP检查，发现1.梗阻性黄疸常见病因为肿瘤和总胆管结石。2.50岁以上患者肿瘤较常见，主要为总胆管癌、壶腹周围癌和胰腺癌。3.对总胆管结石的诊断，ERCP较腹B超准确，诊断准确率分别为94.6%和25.9%,二者比较差异极显着（P<0.01）.4.化脓性胆管炎是ERCP最严重的并发症，对黄疸严重的患者，采取（1）先做PTC;（2）把60%泛影葡胺稀释为30%;（3）在造影剂中加入庆大霉素。可明显减少并发症。因此，ERCP诊断梗阻性黄疸是一种既准确又安全的方法。 |
| 英文摘要: |
| The purpose of this study was to observe the cause diagnosis of obstructive jaundice and how to present from complication.The result of examination by ERCP of 225 patients who were diagnosed as obstructive jaundice shows that major causes are tumor and common bile duct stone.For patient older than 50,tumor is more commonly discovered cause,most are common bile duct carcinoma,periampullary carcinoma and carcinoma of pancrease.The diagnosis of common bile duct stone,ERCP is superior to ultrasonography,causes of the obstrution confirmed rightly were 94 6% and 25 9%, the difference was very signaficant ( P <0 01).Cholangitis sepsis is the most serious complication of ERCP.We should present the patients with serious jaundice frow cholangitis sepsis,firstly,to do PTC for patients,secondly,to dilute the 60% solutions of meglumine diatrizoate to 30%,thirdly,to add gentamycine to contrast medium.These measures may greatly decrease the death rate.For this reason,ERCP was a accurate and also safe method on obstructive jaundice. |
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