Blum A L, Brühlmann W, Peter P, Krejs G J
MMW Munch Med Wochenschr. 1975 Dec 12;117(50):1979-86.
The large number of pancreas tests recommended today shows that no single method is satisfactory. In general, the rule holds that invasive methods are relatively conclusive and non-invasive are unreliable. In this report it is shown that by a rational combination of simple tests, a reliable procedure for pancreatic diagnosis in about 75% of cases is possible for the general practitioner. The methods described in recent years, such as scintigraphy, ultrasonography, angiography and retrograde pancreaticography are complicated and require great experience. In combination, they raise the accuracy to about 95%. Individual investigators can specialize in only one or a few of these methods. Diagnosis of pancreatic conditions which exceed the facilities of the doctor in practice is only possible in large centers or through co-operation of several specialists.
如今推荐的大量胰腺检查表明，没有一种单一方法是令人满意的。一般来说，有这样一条规律：侵入性方法相对具有决定性，而非侵入性方法不可靠。本报告表明，通过合理组合简单检查，全科医生有可能在约75%的病例中获得可靠的胰腺诊断程序。近年来描述的方法，如闪烁扫描、超声检查、血管造影和逆行胰管造影都很复杂，需要丰富的经验。综合使用这些方法可将准确率提高到约95%。个别研究人员只能专门从事其中一种或几种方法。对于超出医生实际能力范围的胰腺疾病诊断，只有在大型中心或通过几位专家的合作才有可能。
