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内镜逆行胆管造影术(ERC)在胆汁淤积和胆囊切除术后综合征中的意义(作者译)

[The significance of endoscopic retrograde cholangiography (ERC) in biliary stasis and the postcholecystectomy syndrome (author's transl)].

作者信息

Gundel H, von Fritsch E, Koch H

出版信息

Dtsch Med Wochenschr. 1975 Sep 19;100(38):1877-81. doi: 10.1055/s-0028-1106473.

Abstract

In a group of 103 patients with biliary tract disease only 27% had findings of ERC which were concordant with the operative observations. False-negative results were present in 20%, while in 55% conventional cholangiography did not provide enough opacification for exact diagnosis. The size of the common bile-duct lumen correlated with the degree of biliary stasis. It can, therefore, be used as a good diagnostic indicator. The normal lumen diameter as measured by ERC was 6.29 +/- 1.29 mm in the suprapancreatic part of the common bile-duct. All cholecystectomised patients had a dilated lumen, the borderline value for biliary stasis being at 13-14 mm.

摘要

在一组103例胆道疾病患者中,仅27%的内镜逆行胰胆管造影(ERC)结果与手术观察结果一致。20%出现假阴性结果,而55%的传统胆管造影未提供足够的造影剂充盈以进行准确诊断。胆总管管腔大小与胆汁淤积程度相关。因此,它可作为一个良好的诊断指标。通过ERC测量,胆总管胰上段的正常管腔直径为6.29±1.29毫米。所有接受胆囊切除术的患者管腔均扩张,胆汁淤积的临界值为13 - 14毫米。

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