Kremer H, Schierl W, Ingrisch H, Frey K W, Zöllner N
MMW Munch Med Wochenschr. 1978 Nov 3;120(44):1453-6.
In a prospective echographic and radiographic investigation of 281 patients and in a retrospective evaluation of 86 operated patients, echography and radiography gave approximately equally accurate diagnoses. By using both methods no pathological finding will be overlooked. For reasons of radiation protection, echographic examinations should be carried out first. If the echographic results agree with the clinical findings the radiological cholecystography can be dispensed with. Radiological investigation should be carried out if the echographic findings are at variance with the clinical findings. Consequently echographic cholecystography certainly cannot replace radiography, but it does contribute in that radiographic examination can be used selectively.
在对281例患者进行的前瞻性超声和放射学检查以及对86例手术患者的回顾性评估中,超声检查和放射学检查的诊断准确性大致相同。同时使用这两种方法不会遗漏任何病理发现。出于辐射防护的原因,应首先进行超声检查。如果超声检查结果与临床发现一致,则可以免做放射学胆囊造影。如果超声检查结果与临床发现不一致,则应进行放射学检查。因此,超声胆囊造影肯定不能取代放射学检查,但它有助于选择性地使用放射学检查。