超声与内镜逆行胰胆管造影术在阻塞性胆道疾病病因检测中的比较。

Comparison of ultrasound and E.R.C.P. in the detection of the cause of obstructive biliary disease.

作者信息

Rigauts H, Marchal G, Van Steenbergen W, Ponette E

机构信息

Department of Radiology, University Hospitals K. U. Leuven, Belgium.

出版信息

Rofo. 1992 Mar;156(3):252-7. doi: 10.1055/s-2008-1032878.

DOI:10.1055/s-2008-1032878

PMID:1550923

Abstract

The value of ultrasound (US) in determining the cause and site of biliary obstruction was critically evaluated and compared to endoscopic retrograde cholangiography (ERCP), in a prospective study performed on 120 consecutive patients. The final diagnosis was based on surgery, endoscopic retrograde cholangiography or a combination of other examinations. Ultrasound successfully differentiated obstructive from non obstructive jaundice in 96% of the patients, comparing well with the results ERCP. US correctly defined the cause of obstruction in 71% of the patients with ductal stones, in 90% of the patients with tumoural bile duct obstruction, but only in 59% of the patients with chronic pancreatitis.

摘要

在一项对120例连续患者进行的前瞻性研究中，对超声（US）在确定胆道梗阻的原因和部位方面的价值进行了严格评估，并与内镜逆行胆管造影（ERCP）进行了比较。最终诊断基于手术、内镜逆行胆管造影或其他检查的综合结果。超声在96%的患者中成功区分了梗阻性黄疸和非梗阻性黄疸，与ERCP的结果相当。超声在71%的胆管结石患者、90%的肿瘤性胆管梗阻患者中正确确定了梗阻原因，但在慢性胰腺炎患者中仅为59%。