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我院自1995年3月～2001年3月应用逆行胰胆管造影（ERCP）诊断胆管癌48例,现报告如下:1 临床资料1.1 一般资料48例中男29例,女19例;年龄42～79岁。被检查ERCP者最常见的症状为无痛性黄疸（10例）,仅1例以右上腹部疼痛伴发冷及发热入院,表现类似胆管炎症,但在ERCP检查后3天出现进行性黄疸。1.2 X线表现 48例病人行ERCP检查胆道均显影,根据癌肿部位的不同分为三类:①肝门胆管癌（肝外胆管上段癌）18例;②肝外胆管中段癌13例;③肝外胆管下段癌17例。根据癌肿浸润胆管是否完全分为两类:①完全性梗阻:在X光片上肝内胆管不显影,仅梗阻远端显影占3例;②不完全性梗阻:X光片梗阻部位呈线状狭窄,狭窄以上的肝内胆管明显扩张、迂曲、延长,呈“软藤征”,本组病例中占
In our hospital from March 1995 to March 2001, retrograde cholangiopancreatography (ERCP) was used to diagnose 48 cases of cholangiocarcinoma. The report is as follows: 1 Clinical data 1.1 General information 48 cases of 29 males and 19 females; age 42～ 79 years old. The most common symptoms of ERCP examined were painless jaundice (10 cases). Only 1 patient presented with pain in the right upper quadrant with chills and fever, similar to biliary inflammation, but progressive jaundice developed 3 days after ERCP examination. 1.2 X-ray findings 48 cases of patients with biliary ERCP scan were developed, according to the different parts of the cancer are divided into three categories: 1 hilar cholangiocarcinoma (upper hepatic bile duct carcinoma) in 18 cases; 2 extrahepatic bile duct carcinoma in 13 cases; 3 Extrahepatic bile duct carcinoma in 17 cases. According to whether the cancer infiltrating bile duct is completely divided into two categories: 1 complete obstruction: In the intrahepatic bile duct on the X-ray film is not developed, only the obstruction distal imaging accounted for 3 cases; 2 incomplete obstruction: X-ray film obstruction site was linear Stenosis, intrahepatic bile ducts above the stenosis were significantly dilated, distorted, and prolonged, showing a “soft rattan sign,” accounting for the cases.