Borodach V A, Borodach A V, Shkuratova N I
Vestn Khir Im I I Grek. 2000;159(6):20-4.
A comparative analysis of the results of using the ultrasonic investigation and computed tomography in differential diagnosis of jaundice was made in 205 patients. The reliability of USI in diagnosis of cholelithiasis was 54.3%, and that of standard CT was 55.9%. The authors have developed and used computed tomocholangiography (direct and indirect) in 187 patients with pronounced bilirubinemia. Indirect tomocholangiography was used in patients with bilirubinemia not more than 157 mkm/l. Contrasted main bile ducts were noted in 95% of the patients. When the content of bilirubin in blood plasma was higher than the figures shown, the authors used the direct contrast of the bile ducts in combination with computed tomography. When using more perfect X-ray devices (CT) with the greater resolving power for diagnosis in jaundice patients, it was possible to get the overwhelming information about the state of the bile ducts.
对205例患者使用超声检查和计算机断层扫描进行黄疸鉴别诊断的结果进行了比较分析。超声检查诊断胆石症的可靠性为54.3%，标准计算机断层扫描的可靠性为55.9%。作者对187例有明显胆红素血症的患者开展并使用了计算机断层胆道造影（直接和间接）。间接断层胆道造影用于胆红素血症不超过157 μmol/L的患者。95%的患者可见对比增强的主要胆管。当血浆胆红素含量高于所示数值时，作者将胆管直接造影与计算机断层扫描相结合使用。在黄疸患者诊断中使用具有更高分辨率的更先进的X线设备（计算机断层扫描）时，有可能获得有关胆管状况的大量信息。
