Schmarsow R, Kiefer H, Linhart P, Gruner H J, Hammes P H
Rofo. 1979 Oct;131(4):392-6. doi: 10.1055/s-0029-1231458.
Real-Time-Sonography and pharmacoangiography with vasodilating drugs was performed in 63 patients with suspected pancreatic disease. Confirmation of the pancreatic lesion could be obtained in 41 cases by the symptomatology, pancreatic function test, autopsy, operation, laparoscopy with fine-needle-biopsy and by the roentgenologic visualization of pancreatic calcifications. Considering the relatively advanced disease of pancreatic carcinoma in our six patients the sonographic diagnosis was correct in all of them and with pharmacoangiography we failed on one case. In chronic pancreatitis correct diagnostic results with pharmacoangiography could be obtained in 8 of 18 cases and with sonography in 14 of 18 patients. In this study sonography showed certain advantages in comparison with angiography, but both methods were complementary and a better result in the differential diagnosis between chronic pancreatitis and pancreatic carcinoma could be achieved.
对63例疑似胰腺疾病的患者进行了实时超声检查及使用血管扩张药物的药物血管造影检查。通过症状学、胰腺功能检查、尸检、手术、腹腔镜细针活检以及胰腺钙化的X线显影，41例患者的胰腺病变得以确诊。考虑到我们的6例胰腺癌患者病情相对较晚，超声诊断对所有患者均正确，而药物血管造影检查有1例失败。在慢性胰腺炎患者中，18例中有8例通过药物血管造影检查获得了正确的诊断结果，18例中有14例通过超声检查获得了正确结果。在本研究中，超声检查与血管造影相比显示出一定优势，但两种方法互为补充，在慢性胰腺炎和胰腺癌的鉴别诊断中可取得更好的结果。
