Progress in diagnosis and treatment of pancreaticobiliary maljunction

doi:10.16139/j.1007-9610.2020.06.018

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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.

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References 34

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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

Progress in diagnosis and treatment of pancreaticobiliary maljunction

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