胰胆管汇合异常的诊治进展

摘要/Abstract

中图分类号:

刘宇虹, 邓刚, 陈俊宗(综述), 汤地(审校). 胰胆管汇合异常的诊治进展[J]. 外科理论与实践, 2020, 25(06): 523-528.

LIU Luhong, DENG Gang, CHEN Junzong, TANG Di. Progress in diagnosis and treatment of pancreaticobiliary maljunction[J]. Journal of Surgery Concepts & Practice, 2020, 25(06): 523-528.

图/表4

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检查方法	ERCP	MRCP	静脉滴注胆道造影CT
可视化率（%）（伴先天性胆道扩展的患儿）	82	57	25
灵敏度（%）儿童	75	40~80	58~100
成人	90~100	82~100	20
成像	胆胰汇合部的详细解剖结构, 评估括约肌的动态功能	完整胆道系统及功能,分辨率较低,运动伪影	胆道解剖结构的高分辨率图像, 描绘胰胆管的连通性
侵入性	是	否	小于ERCP
适应证	内镜乳头括约肌切开、CBD取石、鼻胆管引流、胆道肿瘤诊治、胆汁采集等	儿童、成年病人首选	二线诊断方式,随访和复查
并发症	胰腺炎、出血、感染、穿孔、镇静相关不良事件	较少	辐射和造影剂不耐受

表1

参考文献34

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胰胆管汇合异常的诊治进展

Progress in diagnosis and treatment of pancreaticobiliary maljunction

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