A magnetic resonance cholangiopancreatography, MRCP for short, is similar to an ERCP. But an ERCP is an invasive test and an MRCP is not. With an ERCP, a doctor has to insert an endoscope through your mouth to do the test. An MRCP isn't invasive; there is no endoscope. Instead, a...
there was significant difference compared with before operation(P<0.05). Postoperative chills,fever, pain,jaundice have different degrees of ease. Postoperative liver function was improved significantly(P<0.05). The postoperative average length of stay in common bile duct stones was 4~ 6 days...
1.2 入选、排除标准 入选标准:(1)CT、MRCP均证实胆总管结石致结石性梗阻性黄疸。(2)术前评估身体一般状况较好,能够耐受手术。(3)能充分了解ERCP或PTCD的手术方式,理解及愿意承担手术的潜在并发症及其他风险。(4)临床资料完整者。(4)患者及其家属同意参与此研究。排除标准:(1)心、肺等脏器患有严重疾病者。(2)...
first recurrence of stones.Results There was no significant difference between the two groups in gender,age,the number of stones and other indicators(P>0.05).The recurrence rate of the biliary duct stent group was24.59%,the recurrence rate of the nasobiliary duct group was10.53%,and ...
1.1 一般资料 选择我院肝胆外科2010年6月至2014年6月经腹部彩超、MRCP、腹部CT及肝功能化验确诊为胆总管结石的患者38例,所有患者均无胰腺炎及高淀粉酶血症病史,其中男性20例,女性18例,平均年龄(50±15)岁,均符合ERCP治疗标准。采用随机数表法随机分为两组各19例,观察组中男性10例,女性9例,其中胆囊结石合并胆...
因此,在对老年MOJ患者行ERCP治疗时,术前应充分阅读CT或MRCP等影像学特征,并做好与患者家属的沟通工作,一旦操作失败,及时采取有效的补救措施显得至关重要。 PTCD是经皮穿刺肝内梗阻近端扩张的胆管而放置引流管达到外引流胆汁为目的的一种术式,直接避开了ERCP插管失败的问题,同时还可尝试沿导丝在胆管狭窄段放置内支架...
19 complications occurred in the MRCP group in 15 (18%) patients with a total length of stay of 79 days (0.98 d/patient randomized) vs 14 in the ERCP group in 10 (13%) patients accounting for a total of 63 days in hospital (0.79 d/patient randomized); a difference of 5% of patien...
[4] Denecke T, Degutyte E, Stelter L, et al. Minimum intensity projections of the biliary system using 16-channel multidetector computed tomography in patients with biliary obstruction: comparison with mrcp. Eur radiol, 2...
纳入标准:①符合 ERCP 手术指征;②经腹部彩 色超声 、磁共振胰胆管成像(magnetic resonance cholangio pancreatography, MRCP)等检查,经诊断确 诊为胆总管结石疾病;③术前准备时患者无明显急 性胰腺炎或急性胆管炎表现。 排除标准:①存在内镜操作禁忌证者;②伴有心 、肝 、肺 、肾等其他重要器官的严重疾病者;...
由上腹部 CT 和 MRCP 检查 明确诊断 .除外胆囊结石及肝内胆管结石 均 由本院副主任医师或以上职称者担任术者 病人咽 喉麻醉满意后 常规行 ERCP 了解胆总管结石 .根据 术 中所见 选择 网篮碎 石后 Oddi 括约 肌切 开取石或 直接 Oddi 括约肌切开取石 病人术后 1周行造影 确认均无结石残 留二 、方法...