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[逆行胰胆管造影术和胰腺计算机断层扫描对患者的诊断信息价值及辐射负荷]

[Diagnostic information value and radiation load on the patient of retrograde cholangiopancreatography and computed tomography of the pancreas].

作者信息

Laganovskis A Ia, Nemiro E A, Rubene M Ia, Trunova N I

出版信息

Med Radiol (Mosk). 1988 Jul;33(7):29-31.

PMID:3398751
Abstract

The paper is devoted to a comparative analysis of the diagnostic value of retrograde cholangiopancreatography (ERCP) and computed tomography (CT) in 50 patients with chronic pancreatitis and pancreatic tumors and comparison of radiation exposure of a patient during the use of these methods of x-ray examination. CT was shown to be a more informative method, particularly in the diagnosis of chronic pancreatitis. However, the results obtained with CT, were not specific enough to make convincing differential diagnosis between tumorous and inflammatory processes. In parallel with it radiation exposures the patients were subjected to, were assessed using an original method with thermoluminescent dosage meters. It was established that tissue doses, on the whole, were larger in ERCP than in CT, the difference being determined by the distinctive features of both methods and the duration of the endoscopic component in pancreatography.

摘要

本文致力于对50例慢性胰腺炎和胰腺肿瘤患者逆行胰胆管造影术(ERCP)和计算机断层扫描(CT)的诊断价值进行比较分析,并比较患者在使用这些X线检查方法时所接受的辐射剂量。结果表明,CT是一种信息量更大的方法,尤其是在慢性胰腺炎的诊断方面。然而,CT所获得的结果不够特异,不足以对肿瘤性和炎症性病变做出令人信服的鉴别诊断。与此同时,使用热释光剂量计的原始方法对患者所接受的辐射剂量进行了评估。结果确定,总体而言,ERCP时的组织剂量大于CT,这种差异由两种方法的独特特征以及胰胆管造影术中内镜部分的持续时间决定。

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