Objective To evaluate the clinical value of EUS before ERCP in diagnosis of patients suspected with choledochopancreatic diseases. Methods US, CT and/or MRCP were performed in 15 cases of acute pancreatitis, obstructive jaundic, common bile duct dilation or repeatedly abdominal pain. EUS diagnosis was performed before ERCP. Results There were 9 cases of common bile duct stone, 2 cases of periampullary carcinoma, 2 cases of biliary papillo-matosis, 1 case of papilla of duodenum inflammational strictures, 1 case of pancreatic stones. Conclusion EUS has higher value in the diagnosis of suspected choledochopancreatic diseases.%目的 超声内镜(EUS)在可疑胆胰病变患者行内镜逆行胰胆管造影(ERCP)术前的临床应用价值.方法 对15例急性胰腺炎、梗阻性黄疸、胆总管扩张或反复腹痛等病史的患者,经腹部B超、CT和/或MRCP检查可疑胆胰病变,术前行EUS检查诊断,并经ERCP确认.结果 15例患者确诊胆总管结石并行EST取石术9例,确诊壶腹部肿瘤2例,胆管内乳头状瘤2例,十二指肠乳头炎性狭窄1例,胰管结石1例.结论 EUS对可疑胆胰病变有很高的诊断价值,特别能提高胆总管结石确诊率,高于MRCP检查,并能指导ERCP,提高治疗效果,减少风险.
展开▼
