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[151例黄疸患者经内镜逆行胰胆管造影术的评估]

[Evaluation of transendoscopic retrograde cholangio-pancreatography in 151 jaundiced patients].

作者信息

Morelli A, Narducci F, Pelli M A, Ciccone R, Gubbiotti A, Rossi L

出版信息

Minerva Med. 1978 Oct 27;69(51):3509-14.

PMID:733039
Abstract

Endoscopic retrograde cholangiopancreatography was performed for possible obstruction of the extra-hepatic bile ducts in 151 patients with jaundice. The endoscope findings (9 cases) and the retrograde cholangiopancreatogram (127 cases) provided a final diagnosis in 131 cases. A correct surgical indication was obtaines in a further 5 cases (90% diagnostic success overall). In 19 cases, unnecessary exploratory laparotomy was avoided by the demonstration of normal extrahepatic ducts. No complications were noted. It is concluded that this technique is virtually free from risks and offers prompt diagnosis in subjects with jaundice. This, of course, has a significant influence on the subsequent treatment.

摘要

对151例黄疸患者进行了内镜逆行胰胆管造影术,以检查肝外胆管是否可能存在梗阻。内镜检查结果(9例)和逆行胰胆管造影(127例)在131例中提供了最终诊断。另外5例获得了正确的手术指征(总体诊断成功率为90%)。在19例中,通过显示肝外胆管正常避免了不必要的探查性剖腹手术。未发现并发症。结论是,该技术几乎没有风险,能为黄疸患者迅速做出诊断。当然,这对后续治疗有重大影响。

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