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[乳头扩张是一种鉴别诊断还是治疗干预手段?]

[Is dilatation of the papilla a differential diagnostic or therapeutic intervention?].

作者信息

Horntrich J

机构信息

Chirurgischen Klinik, Bezirkskrankenhauses Cottbus.

出版信息

Zentralbl Chir. 1988;113(18):1210-6.

PMID:3068937
Abstract

Calculations were made to establish the action of probes of different thickness on both cicatric tissue and unstriated muscles of the major duodenal papilla. The findings are graphically represented. These calculations were based on histopathological findings recorded from the major duodenal papilla, expandibility, of collagenic fibres and unstriated muscles, and morphometric measurements. The conclusion was drawn that passage of a probe of more than 3 mm in diameter through a cicatrically narrowed papilla constituted an act of therapy or at least had a therapeutic component in addition to probing. The therapeutic range of papillary dilatation is limited to something from three to six millimetres.

摘要

通过计算确定不同厚度的探子对十二指肠大乳头瘢痕组织和平滑肌的作用。研究结果以图表形式呈现。这些计算基于从十二指肠大乳头记录的组织病理学发现、胶原纤维和平滑肌的可扩张性以及形态学测量。得出的结论是,直径超过3毫米的探子穿过瘢痕性狭窄的乳头构成一种治疗行为,或者至少除了探查之外还具有治疗成分。乳头扩张的治疗范围限于3至6毫米。

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