Chong W K, Theis B, Russell R C, Lees W R
Department of Radiology, Middlesex Hospital, London, England.
Radiographics. 1992 Jan;12(1):79-90. doi: 10.1148/radiographics.12.1.1734484.
The pancreatic duct can be opacified when contrast material is injected through a fine needle percutaneously placed under ultrasound (US) guidance. Percutaneous pancreatography was performed in 63 patients with chronic pancreatitis diagnosed at US or computed tomography (CT). In 52 of these patients, endoscopic retrograde pancreatography (ERP) was unsuccessful or did not enable complete visualization of the duct. The percutaneous pancreatograms and other relevant images of these patients were retrospectively reviewed. Percutaneous pancreatography was successful in 54 patients (86%), in whom it clearly mapped the full ductal anatomy, depicted the relationship between cavities seen at US or CT and the duct, and allowed assessment of duct drainage after antegrade injection of contrast material. This information was not provided by other modalities. Percutaneous pancreatography is a valuable complement to CT, US, and ERP for imaging chronic pancreatitis.
当在超声（US）引导下经皮将细针穿刺注入造影剂时，胰管可显影。对63例经超声或计算机断层扫描（CT）诊断为慢性胰腺炎的患者进行了经皮胰腺造影。在这些患者中，有52例内镜逆行胰胆管造影（ERP）不成功或无法完整显示胰管。对这些患者的经皮胰腺造影图像及其他相关图像进行了回顾性分析。54例患者（86%）经皮胰腺造影成功，造影清晰显示了整个胰管的解剖结构，描绘了超声或CT所见腔隙与胰管之间的关系，并能在顺行注入造影剂后评估胰管引流情况。其他检查方法无法提供这些信息。经皮胰腺造影是对CT、超声和ERP用于慢性胰腺炎成像的一种有价值的补充。
