内镜逆行胰胆管造影联合SpyGlass诊断胆总管乳头状黏液瘤1例报告

丁玄; 王林恒; 江贵; 云逸飞; 卢心毓; 姚玉璞

doi:10.3969/j.issn.1001-5256.2021.12.034

内镜逆行胰胆管造影联合SpyGlass诊断胆总管乳头状黏液瘤1例报告

DOI: 10.3969/j.issn.1001-5256.2021.12.034

北京中医药大学东方医院脾胃肝胆科，北京 100078

基金项目:

北京中医药大学2020年度基本科研业务重点攻关项目 (2020-JYB-ZDGG-132)

详细信息

通信作者:
姚玉璞，yaoyupu2008@126.com

中图分类号: R575
计量
- 文章访问数: 548
- HTML全文浏览量: 89
- PDF下载量: 25
- 被引次数: 0
出版历程
- 收稿日期: 2021-04-14
- 录用日期: 2021-07-05
- 出版日期: 2021-12-20

Endoscopic retrograde cholangiopancreatography combined with Spyglass in diagnosis of common bile duct papillary myxoma: A case report

Spleen, Stomach and Hepatobiliary Department, Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China

Research funding:

Key research projects of Beijing University of Chinese Medicine for basic scientific research in 2020 (2020-JYB-ZDGG-132)

摘要

- 胆管肿瘤 /
- 胰胆管造影术, 内窥镜逆行 /
- 诊断
- Bile Duct Neoplasms /
- Cholangiopancreatography, Endoscopic Retrograde /
- Diagnosis

HTML全文

图 1 鼻胆管造影

下载: 全尺寸图片幻灯片

图 2 取石网篮取出黏液栓

下载: 全尺寸图片幻灯片

图 3 SpyGlass直视下观察

注：a，胆管内充满黏稠白色半透明黏液，似见絮状漂浮物；b，视野内可见白色半透明黏液，胆管壁增生粗糙样改变；c，胆管内似见泡沫样半透明黏液，胆管壁增生粗糙并伴有绒毛状改变。

下载: 全尺寸图片幻灯片

表 1 患者术后肝功能、淀粉酶等指标变化

日期	ALT (U/L)	AST (U/L)	GGT (U/L)	血淀粉酶 (U/L)	降钙素原 (ng/mL)
11-14	281	81	131	170.0	0.053
11-15	254	62	127	162.0	0.043
11-16	正常	正常	正常	136.0	正常
11-17	170	35	121	113.0	0.050
11-20	84	18	87	94.0	正常

下载: 导出CSV

参考文献(24)

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