Schmarsow R, Kiefer H
Leber Magen Darm. 1979 Aug;9(4):212-20.
Pancreatic angiography was performed in 246 patients using various vasodilating drugs. A pancreatographic effect could be found in 79% of all cases; Tolazolin was particularly efficient, since the effect could be found in 91% of the cases receiving the drug. The diagnostic value of different parameters was assessed in patients with chronic pancreatitis and in patients with carcinoma of the pancreas, in particular concerning the presence or absence of the pancreatographic effect, and the structure, width and contours of this organ. Evaluating the pancreatographic effect and vascular changes a correct diagnosis could be obtained in 69% of all cases with chronic pancreatitis and in 78% of all cases with carcinoma of the pancreas. The pancreatographic effect was diagnostically essential in 26% of all cases, and turned out to be rather useful in patients with chronic pancreatitis, whereas its diagnostic value was less in patients with carcinoma. The diagnostic value of angiography can be improved by the superselective technique and by applying the vasodilator Tolazolin, which is well tolerated and gives an excellent pancreatographic effect.
对246例患者进行了胰腺血管造影，使用了各种血管扩张药物。在所有病例中，79%可发现胰腺造影效果；妥拉唑啉特别有效，因为在接受该药物治疗的病例中，91%可发现效果。对慢性胰腺炎患者和胰腺癌患者评估了不同参数的诊断价值，特别是关于胰腺造影效果的有无，以及该器官的结构、宽度和轮廓。通过评估胰腺造影效果和血管变化，在所有慢性胰腺炎病例中，69%可获得正确诊断，在所有胰腺癌病例中，78%可获得正确诊断。胰腺造影效果在所有病例的26%中具有诊断至关重要性，在慢性胰腺炎患者中相当有用，而在癌症患者中其诊断价值较小。通过超选择性技术和应用耐受性良好且能产生极佳胰腺造影效果的血管扩张剂妥拉唑啉，可提高血管造影的诊断价值。
