ERCP对肝外胆管癌的诊断价值

• 作 者: 张宽学 董雷 张晓辉
• 机 构: 西安医科大学第二临床医学院消化科
• 出 处: 新消化病学杂志
• 发表日期: 1997年05期
• 关键词: 肝外胆管癌 胆道肿瘤 腺瘤癌变 胆总管癌 胆管.肝外 胰胆管造影 胆道系统 诊断符合率 横纹肌肉瘤 肝门部

目的对手术病理证实的３１例肝外胆管癌进行回顾性分析．方法３１例患者均行胰胆管造影，并和Ｂ超及ＣＴ检查进行对照．结果上段胆管癌１６例，下段胆管癌１３例，中上段胆管癌２例．１例为横纹肌肉瘤，２例为腺瘤癌变，其余均为腺癌．ＥＲＣＰ成功２８例（９０３％），Ｂ超诊断符合率为８０７％，而ＣＴ显示梗阻８５０％，能明确病因者仅７００％．结论ＥＲＣＰ在早期诊断肝外胆管癌方面明显优于Ｂ超及ＣＴ检查，并能清晰地显示胆道系统的全貌，对治疗及手术方案选择有重要价值．

3. Objective To retrospectively analyze 31 cases of extrahepatic bile duct carcinoma confirmed by pathology. Methods 31 patients underwent cholangiopancreatography and were compared with B-ultrasonography and CT examination. The results of 16 cases of upper bile duct carcinoma, 13 cases of lower bile duct cancer, 2 cases of middle and upper bile duct cancer. One case was rhabdomyosarcoma, 2 cases were adenoma cancerous, and the others were adenocarcinoma. ERCP was successful in 28 cases (903%). The coincidence rate of B-ultrasonography was 807%, and CT showed an obstruction of 850%. Only 700% of the patients had clear etiology. Conclusion ERCP is superior to B-ultrasonography and CT in the early diagnosis of extrahepatic cholangiocarcinoma, and can clearly show the overall appearance of the biliary system, which is of great value for the choice of treatment and surgical plan.