论文部分内容阅读
慢性胰腺疾病的临床诊断较为困难,目前尚缺乏安全有效而特异性较高的生化指标。胰腺“三联”试验对胰腺和胆道疾病的诊断有较大的参考价值。所谓“三联”即:通过十二指肠双腔引流管,在应用胰泌素和胰酶泌素刺激后,测定十二指肠引流液中的有关生化指标(可反映胰腺外分泌功能及胰管通畅的情况);同时作十二指肠液细胞学检查;以及十二指肠低张造影。我们对慢性复发性胰腺炎,以及原因不明的腹痛疑有胰腺疾病的患者和不能定位的阻塞性黄疸等患者共20例,作了胰腺“三联”试验。本文着重介绍“三联”试验中的胰腺外分泌功能试验并对其结果的评价作一初步探讨。
Clinical diagnosis of chronic pancreatic diseases is more difficult, there is a lack of safe and effective and specific high biochemical indicators. Pancreatic “triple” test for the diagnosis of pancreatic and biliary disease have greater reference value. The so-called “triple” that is: through the duodenal drainage tube, after the application of secretin and pancreatic enzyme secretion stimulation, determination of duodenal drainage relevant biochemical indicators (which can reflect the pancreatic exocrine function and pancreatic duct Patency); at the same time for duodenal fluid cytology; and duodenal hypotension. We conducted a “triple test” of pancreatic disease in 20 patients with chronic recurrent pancreatitis, unexplained abdominal pain suspected of having pancreatic disease, and unobservable obstructive jaundice. This article focuses on the test of pancreatic exocrine function in the triple test and makes a preliminary study on its evaluation.