内镜逆行胰胆管造影术（ERCP）和经皮经肝胆管造影术（PTC）在疑似胰腺癌评估中的应用：诊断局限性及当代作用

Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiography (PTC) in the evaluation of suspected pancreatic carcinoma: diagnostic limitations and contemporary roles.

作者信息

Freeny P C, Ball T J

出版信息

Cancer. 1981 Mar 15;47(6 Suppl):1666-78. doi: 10.1002/1097-0142(19810315)47:6+<1666::aid-cncr2820471435>3.0.co;2-u.

DOI:10.1002/1097-0142(19810315)47:6+<1666::aid-cncr2820471435>3.0.co;2-u

Abstract

The accuracy of ERCP and PTC in the diagnosis of pancreatic carcinoma was evaluated in a series of 376 and 112 patients, respectively. ERCP had a sensitivity of 94% and a specificity of 97%; PTC had a sensitivity of 100% and a specificity of 96%. Prior to the introduction of CT, these highly accurate examinations were the first major diagnostic procedures performed in patients with suspected pancreatic carcinoma. CT has had a significant impact on the role of ERCP and PTC and has replaced them as the initial procedure of choice. The current indications for ERCP and PTC were evaluated in a series of 211 patients with suspected pancreatic disease who were studied initially by CT. ERCP is now used to evaluate patients in whom CT is normal, equivocal, or technically unsatisfactory. PTC is used as a preoperative procedure for precise definition of biliary anatomy or for percutaneous placement of a palliative biliary drainage catheter.

摘要

分别对376例和112例患者进行了内镜逆行胰胆管造影（ERCP）和经皮肝穿刺胆管造影（PTC）诊断胰腺癌的准确性评估。ERCP的敏感性为94%，特异性为97%；PTC的敏感性为100%，特异性为96%。在计算机断层扫描（CT）应用之前，这些高度准确的检查是疑似胰腺癌患者首先进行的主要诊断程序。CT对ERCP和PTC的作用产生了重大影响，并已取代它们成为首选的初始检查方法。对最初接受CT检查的211例疑似胰腺疾病患者进行了ERCP和PTC当前适应证的评估。现在，ERCP用于评估CT检查结果正常、不明确或技术上不满意的患者。PTC用作术前精确确定胆管解剖结构或经皮放置姑息性胆管引流导管的操作。