胰腺癌的诊断和治疗仍是一个难题。多数病人在就诊时已发现无法治疗。胰腺癌继发胆管梗阻者固然要做姑息性的旁路手术,但经放射学诊断为不能切除的胰腺癌病人,仍进行剖腹探查,其目的仅为了证实放射学的诊断或获得标本作组织学检查。对后一组病人,为了避免剖腹术引起的病患率和化费,可用经皮细针吸引活检来获得胰腺组织证实癌肿。本文报道在ERCP下选定活检部位,对14例进行经皮细针胰腺穿刺活检的经验。 14例均为无黄疸而怀疑胰腺癌的病人,男女各7例,年龄从55岁至82岁。每例均经ERCP诊断为胰腺癌,随后动脉造影显示肿瘤已不能切除。术前的准备同动脉造影术:禁固体食物8至12小时,口服安定10mg。术后嘱卧床6小时,在4小时内密切监护重要的生命体征。用ERCP所摄的仰卧位(前后)片,来断定胰管梗阻或被肿瘤包绕的部位。可用超声扫描或电子计算计体层扫描(CT)以估计皮肤至胰腺肿块中心的距 The diagnosis and treatment of pancreatic cancer remains a problem. Most patients have been found unable to treat at the time of treatment. Although palliative bypass surgery is required for patients with biliary obstruction secondary to pancreatic cancer, patients undergoing radiologic diagnosis of unresectable pancreatic cancer are still undergoing laparotomy for the purpose of confirming the diagnosis of radiology or obtaining histological specimens for histology. an examination. For the latter group of patients, in order to avoid the prevalence and expense of laparotomy, percutaneous fine needle aspiration biopsy can be used to obtain pancreatic tissue confirmed cancer. This article reports the biopsy site under ERCP and 14 cases of percutaneous needle biopsy. Fourteen patients were suspected to have pancreatic cancer without jaundice. Seven patients were male and female, aged from 55 to 82 years old. Each case was diagnosed as pancreatic cancer by ERCP, and subsequent arteriography showed that the tumor could not be removed. Preoperative preparation with arteriography: Solid foods are banned for 8 to 12 hours and orally dosed with 10 mg. He was placed in bed for 6 hours after operation and he was closely monitored for important vital signs within 4 hours. The supine position (front and rear) of the ERCP was used to determine the location of the pancreatic duct obstruction or tumor entrapment. Ultrasound or computed tomography (CT) can be used to estimate the distance from the skin to the center of the pancreas mass