Blum A L, Bruhlmann W, Peter P, Krejs G J
Minerva Med. 1976 Nov 14;67(55):3621-34.
The fact that a large number of pancreatic explorations have been proposed shows that now are really satisfactory. Generally speaking, it is true that instrumental techniques are relatively affirmative, whereas less aggressive methods are more uncertain. It is shown that a proper association of simple tests offers the general practitioner a 75% certainty of diagnosing pancreatic disease. Scintiscanning, zonography, angiography and retrograde pancreatography have been proposed in recent years, but they are complicated and demand considerable experience. In combination, they permit certain diagnosis in about 95% of cases. An experimenter may specialise in one or several of these techniques. Diagnosis of pancreatic disease is beyond the capacity of the general practitioner and requires the cooperation of several specialists, or examination at a large medical centre.
大量胰腺探查术被提出这一事实表明，目前的情况确实不尽如人意。一般来说，仪器技术相对可靠，而侵入性较小的方法则更具不确定性。研究表明，适当结合一些简单的检查可为全科医生提供75%的胰腺疾病诊断准确率。近年来，闪烁扫描、区域造影、血管造影和逆行胰胆管造影已被提出，但这些检查复杂且需要相当丰富的经验。综合使用这些检查，在大约95%的病例中可确诊。实验者可专门从事其中一种或几种技术。胰腺疾病的诊断超出了全科医生的能力范围，需要多位专家的合作，或在大型医疗中心进行检查。
