Hauzeur F, Dummler W
Z Gesamte Inn Med. 1979 May 15;34(10):277-80.
The functional diagnostics is a corner-pillar of the difficult diagnostics of pancreas. Despite new tests many wishes remain open. The secretine-pancreozymine test and the Lundh-test give good informations, but they are expensive and for the patients considerably stressing. They certainly are not regarded as screening tests. The suitable and justifiable tests for epidemiologic examinations (estimations of stool enzymes and of serum isoamylase) are less specific and sensitive. A differentiation between chronic pancreatitis and neoplasm of the pancreas is not possible with the help of the functional diagnostics. The results of functional examinations may be correctly evaluated only within all informations which concentrate at the patient's bed.
功能诊断是胰腺疑难诊断的一个重要支柱。尽管有了新的检测方法,但许多问题仍未解决。促胰液素-胰酶泌素试验和伦德试验能提供有用信息,但它们费用高昂,且给患者带来很大压力。它们肯定不能被视为筛查试验。适用于流行病学检查(粪便酶和血清异淀粉酶测定)的检测方法特异性和敏感性较低。借助功能诊断无法区分慢性胰腺炎和胰腺肿瘤。只有综合患者床边的所有信息,才能正确评估功能检查的结果。