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胰腺疾病的比较功能、闪烁扫描和血管造影研究

[Comparative functional, scintigraphic and angiographic studies in pancreatic diseases].

作者信息

Mendizova A, Brailski Kh, Bozhiianov V, Romanova A, Merdzhanov A

出版信息

Vutr Boles. 1979;18(2):27-37.

PMID:462933
Abstract

Pancreas scintigraphy with 75selenomethionine, pancreocimine-secretin test and selective abdominal angiography was carried out in patients with chronic pancreatitis, pancreas carcinoma and subjects without any pancreas diseases. Scintigraphic changes in pancreas were found in 95.6 per cent of the patients with chronic pancreatitis (136 patients) in 92 per cent of them with pancreas carcinoma (25 patients) and in 53.4 per cent from the subjects without pancreas diseases (30 examined). Pathological changes in pancreatic secretion was found in 93.4 per cent of the patients with chronic pancreatitis (105 patients) in 93.8 per cent of the subjects with pancreas carcinoma (32 patients) and only in 3.3 per cent from the examined without pancreatic diseases. The angiographic examination is informative mainly in case of tumours and cysts of the pancreas. The diagnostic potentialities of the separate methods for pancreas examination were critically assessed. The basic diagnostic problems, in pancreas diseases are solved to a great extent with the combined examination with scintigraphy, pancreocimine-secretin test and angiography (76 patients).

摘要

对慢性胰腺炎、胰腺癌患者以及无胰腺疾病的受试者进行了75硒蛋氨酸胰腺闪烁扫描、胰泌素 - 促胰液素试验和选择性腹部血管造影。在136例慢性胰腺炎患者中,95.6%出现胰腺闪烁扫描变化;在25例胰腺癌患者中,92%出现变化;在30例无胰腺疾病的受试者中,53.4%出现变化。在105例慢性胰腺炎患者中,93.4%出现胰腺分泌的病理变化;在32例胰腺癌患者中,93.8%出现变化;而在无胰腺疾病的受检者中,只有3.3%出现变化。血管造影检查主要对胰腺肿瘤和囊肿有诊断价值。对单独的胰腺检查方法的诊断潜力进行了批判性评估。通过闪烁扫描、胰泌素 - 促胰液素试验和血管造影联合检查(76例患者),很大程度上解决了胰腺疾病的基本诊断问题。

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