Lees W R, Heron C W
Department of Diagnostic Imaging, Middlesex Hospital, London, England.
Radiology. 1987 Dec;165(3):809-13. doi: 10.1148/radiology.165.3.3317506.
Seventy-five patients underwent ultrasound (US)-guided percutaneous pancreatography during a 3 1/2-year period. Pancreatography was successful in 67 patients, and there were no significant complications. The technique, which is easy to perform, was primarily employed to assist localization of pancreatic masses at fine-needle aspiration biopsy. It was also used to demonstrate pancreatic duct morphology when endoscopic retrograde pancreatography had failed or proved non-diagnostic. This enabled mapping of the duct system prior to pancreatic surgery. In cases of diagnostic difficulty, assessment of duct appearance with US-guided pancreatography was more accurate in differentiating carcinoma from chronic pancreatitis than was assessment with endoscopic retrograde pancreatography.
在3年半的时间里，75例患者接受了超声（US）引导下的经皮胰腺造影术。67例患者的胰腺造影术成功，且无明显并发症。该技术操作简便，主要用于在细针穿刺活检时辅助胰腺肿块的定位。当内镜逆行胰胆管造影术失败或诊断不明确时，也可用于显示胰管形态。这使得在胰腺手术前能够绘制出导管系统图。在诊断困难的病例中，超声引导下胰腺造影术评估导管外观在鉴别癌与慢性胰腺炎方面比内镜逆行胰胆管造影术更准确。
