Nelson E W, Berenson M M, Moody F G
Am J Surg. 1978 Dec;136(6):740-3. doi: 10.1016/0002-9610(78)90348-3.
Pancreatography is a valuable diagnostic technic to identify structural changes in the pancreatic ductal system. Although specific diagnoses based on ductal changes are not always possible, patients with surgically normal glands and those showing changes of chronic pancreatitis were reliably identified in this series. Patients evaluated for postcholecystectomy pain usually had normal pancreatograms and grossly normal pancreatic glands at the time of surgical exploration. The overall consistency in interpretation of pancreatograms by experienced radiologists was approximately 80 per cent. Pancreatic cancer was poorly predicted due to either minimal changes in the ductal system or inability to distinguish gross changes from those seen with chronic pancreatitis.
胰管造影术是一种用于识别胰腺导管系统结构变化的重要诊断技术。尽管基于导管变化进行特异性诊断并非总是可行，但在本系列研究中，手术时腺体正常的患者以及表现出慢性胰腺炎变化的患者均被可靠地识别出来。因胆囊切除术后疼痛接受评估的患者，在手术探查时通常胰管造影正常且胰腺大体正常。经验丰富的放射科医生对胰管造影的解读总体一致性约为80%。由于导管系统变化极小或无法区分与慢性胰腺炎所见的大体变化，胰腺癌的预测效果不佳。
