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頁籤選單縮合
題 名 | Characteristics of Endoscopic Retrograde Cholangiopancreatogram in Patients with primary Biliary Cirrhosis=原發性膽汁性肝硬化病患的內視鏡逆行性膽胰管造影特徵 |
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作 者 | 陳俊嘉; 孟宏江; 張扶陽; 楊文固; 伍偉華; 李壽東; | 書刊名 | 中華醫學雜誌 |
卷 期 | 57:4 1996.04[民85.04] |
頁 次 | 頁254-259 |
分類號 | 415.5091 |
關鍵詞 | 膽管造影; 內視鏡逆行性膽胰管造影術; 胰管造影; 原發性膽汁性肝硬化; Cholangiography; ERCP; Pancreatography; Primary biliary cirrhosis; |
語 文 | 英文(English) |
中文摘要 | 背景:原發性膽汁性肝硬化病患其內視鏡逆行性膽胰管造影的特徵及發生率在文獻報告有頗多差異,本研究乃分析國人原發性膽汁性肝硬化病患其內視鏡逆行性膽胰管造影的變化。 方法:在過去八年,有29位原發性膽汁性肝硬化患者接受內視鏡逆行性膽胰管造影術,排除3位抗粒線體抗體陰性後,24位有清楚的膽管及胰管造影。另外以16位膽胰管造影正常者為對照組。分析病患膽胰管造影異常的特徵、發生率及其與臨床表徵的相關性。 結果:總膽管及左、右肝內膽管的最大直徑在病患(分別為9.7+/-4.0、5.0+/-1.6、5.1+/-1.2mm)及對照組(分別為7.6+/-0.9、4.4+/-1.2、4.9+/-1.4mm)間並無顯著差異,12位(50%)病患有肝內膽管造影異常,其中8位有分枝減少及局部狹窄,3位有擁擠及扭曲的膽管,1位只有局部狹窄。8位(33%)病患在總肝管接近肝門區有凹痕。肝內膽管造影異常與年齡、性別、Pugh分數、肝功能驗及組織學上的肝硬化並無相關。1位(4.2%)病患有胰管造影的異常。 結論:原發性膽汁性肝硬化病患常見其肝內膽管造影異常,但與臨床上疾病的嚴重度並不相關。 |
英文摘要 | Background: The findings of cholangiopancreatograms in patients with primary biliary cirrhosis vary markedly in literature. We tried to evaluate the changes of endoscopic retrograde cholangiopan-creatograms in Chinese patients with primary biliary cirrhosis. Methods: Twenty-nine patients with primary biliary cirrhosis underwent endoscopic retrograde cholangiopancreatography over the past 8 years. Three patients with a negative antimitochondrial antibody test were excluded. Well opacified cholangiograms and pancreatograms were obtained in 24 patients. Meanwhile, 16 subjects with normal cholangiopancreatogram served as controls. The characteristics and prevalence of abnormal cholangiopancreatograms in the patients and the correlation of radiography with clinical severity of the disease were evaluated. Results: The maximum diameters of the common bile duct (9.7 +/- 4.0 vs. 7.6 +/- 0.9 mm, NS), right (5.0 +/- 1.6 vs. 4.4 +/- 1.2 mm, NS) and left (5.1 +/- 1.2 vs. 4.9 +/- 1.4 mm, NS) intrahepatic ducts did not show significant difference between the patients with primary biliary cirrhosis and the controls. Abnormal intrahepatic cholangiograms were obtained in 12 (50%) patients including eight with diminished arborization and focal stenosis, three with crowding and tortuous branches and one with focal stenosis alone. A hepatic hilum notch on the common hepatic duct was found in eight (33.3%) patients. The abnormalities of intrahepatic ducts did not correlate with age, sex, Pugh's scores, various liver function tests or histologically cirrhotic change. One (4.2%) patient had an abnormal pancreatogram. Conclusions: Abnormal intrahepatic cholangiograms are present in half of patients with primary biliary cirrhosis, but are not related to clinical severity. |
本系統中英文摘要資訊取自各篇刊載內容。