Pickuth D
Klinik und Poliklinik für Diagnostische Radiologie, Martin-Luther-Universität, Medizinische Fakultät, Magdeburgerstr. 16, D-06112 Halle/Saale, Germany.
Abdom Imaging. 2000 Nov-Dec;25(6):618-21. doi: 10.1007/s002610000137.
Unenhanced spiral CT and, in the hands of the experienced, US are accurate noninvasive methods of imaging the common bile duct. This is particularly true when there is a low clinical and laboratory probability of a common bile duct stone being present. In the diagnosis of bile duct stones, CT and US are effective and readily available screening techniques and may aid in the selection of patients who require MRCP or treatment with ERCP. Avoiding ERCP and the associated expense and morbidity is a goal that is becoming attainable with optimized CT, US, and MRCP techniques and an awareness of subtle findings.
未增强螺旋CT以及在经验丰富者手中的超声，是对胆总管进行成像的准确无创方法。当临床和实验室检查提示胆总管结石存在的可能性较低时，情况尤其如此。在胆管结石的诊断中，CT和超声是有效的且易于获得的筛查技术，可有助于选择需要进行磁共振胰胆管造影（MRCP）或内镜逆行胰胆管造影（ERCP）治疗的患者。通过优化CT、超声和MRCP技术以及识别细微表现，避免进行ERCP及其相关费用和并发症，这一目标正变得切实可行。
