[内镜逆行胰胆管造影术在胆胰疾病诊断中的应用。与超声检查和计算机断层扫描的比较]

[ERCP in the diagnosis of bilio-pancreatic pathology. Comparison with echography and CT].

作者信息

Scarabino T, Petronelli S, Palladino D, Balzano S, Federici T, Accadia L, Annese V, Caruso N

机构信息

Dipartimento di Diagnostica per Immagini, Ospedale Regionale Generale, Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG.

出版信息

Radiol Med. 1989 Jun;77(6):650-4.

PMID:2667044

Abstract

The authors have evaluated both sensitivity and specificity of ERCP in comparison with other imaging methods, such as US and CT, on the basis of a study of 63 patients with suspected pancreatobiliary pathologies. Our results show ERCP of chronic pancreatitis to have 83% sensitivity and 66% specificity. As for biliary pathologies, sensitivity was 94% and specificity 88%. In pancreatic pathologies, CT sensitivity was 99% and its specificity was 70%. The combined use of ERCP and CT determines a considerable rise in the percentages, and allows the evaluation of both the excretory tree and the parenchyma. As for biliary pathologies, the role of ERCP is fundamental, since its combination with the other methods (CT: sensitivity 72%, specificity 3.5%; US: sensitivity 70%, specificity 3.5%) has not determined but a slight increase in sensitivity, and no significant increase in specificity.

摘要

作者基于对63例疑似胰胆疾病患者的研究，评估了内镜逆行胰胆管造影（ERCP）与其他成像方法（如超声和CT）相比的敏感性和特异性。我们的结果显示，ERCP对慢性胰腺炎的敏感性为83%，特异性为66%。对于胆系疾病，敏感性为94%，特异性为88%。在胰腺疾病中，CT的敏感性为99%，特异性为70%。ERCP和CT联合使用可使百分比显著提高，并能同时评估排泄系统和实质。对于胆系疾病，ERCP的作用至关重要，因为它与其他方法联合使用（CT：敏感性72%，特异性3.5%；超声：敏感性70%，特异性3.5%）仅使敏感性略有增加，而特异性无显著提高。