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간장 및 담도 : 내시경적 (內視鏡적) 역행성 담췌관 (膽膵管) 조영술 (造影術) 95예의 간기능검사에 (肝機能檢査) 대한 연구
송문철(Moon Chul Song),도사금(Sa Geum Doh),배성조(Sung Joe Bae),허경억(Kyung Uk Hur),성차경(Cah Kyung Sung),이대규(Dae Kyu Lee),이민구(Min Goo Kang) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A From January 1984 to April 1985, endoscopic retrograde cholangio-pancreatography with fiberduoednoscope(Olympus JF-B4), were performed at Daegu Fatima Hospital on 95 patients with hepatobiliary or pancreatico-duodenal diseases. Total patients were allocated to three groups based on the underlying disease with stone, cancer or various conditions. In addition, liver function tests were analyzed to have whether the presence of difference between control and disease groups. The results are as follows: 1) The ratio of males to females in the group of 95 case was 1.5: 1, and the average was 54. 2 years with a range from 18 to 82 years. 2) Successful rate for cannulation was 81. 9%, as a whole, and the rate for selective cannulation into bile duct or pancreatic duct was in 81.9% and in 81.8% respectively. 3) Among total 95 cases, 63 were the patients with biliary tract diseases, 11, hepatic parencnymal diseases, 4, periampullary cancer, 15, pancreatic diseases and 2, duodenal diverticulosis. Of the total patients, allocated to three groups, 43 cases were confirmed to have stone disease, 26, cancer and 26,various diseases. 4) About one-half of cases in the both stone or various disease groups, were found to have jaundice, while most of case in the cancer group were found to have jaundice. 5) Direct bilirubin/Total bilirubin ratio was 0.35+-0.09 in control group, 0.44+-0.10 in various group, aid 0.48+-0.09 in cancer group. And the ratio of DB/TB were elevated significantly in the disease groups than that in control group as well as in the cancer group than that in both stone or various disease groups(p<0.01, p<0.001) 6) Thc ratio of SGOT/SGPT were 1.11+-0.19 in the control group, l.2+-0.6 in stone group l.0+-0.6 in the various disease group, and l.6+-0.9 in the cancer group. The ratio of SGOT/SGPT was elevatedignificantly in the cancer group than that in the control group (p <0.05). 7) The levels of serum alkaline phosphatase was 8.46+-2.6 King-Armstrongs units in the control group, 11.37+-9.46 in the stone group, 9.99+-8.71 in the various disease group, and 23.02+-12. 71 in the cancer group. Then the levels of alkaline phosphatase were elevated significantly in the cancer group than that in the control group(p<0.001).
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