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[经静脉胆管造影(造影剂)的结果]

[The results of transvenous cholangiography (contrast media)].

作者信息

Günther R, Georgi M, Halbsguth A

出版信息

Rofo. 1975 Dec;123(6):525-32. doi: 10.1055/s-0029-1230249.

Abstract

Transvenous cholangiography is a method for the direct demonstration of the biliary passages described by Hanafee and Weiner; its main indication is in the investigation of obstructive jaundice. This method, which does not require immediate subsequent operation, was used in 41 patients. In three patients catheterisation of hepatic veins was unsuccessful. Of the remaining 38 patients, puncture of a bile duct was successful in 20. In 29 patients biliary obstruction was present, and this was demonstrated in 19. In the absence of obstruction the procedure was successful in only one case. The main complications were a sub-capsular liver haematoma, with rupture into the abdominal cavity and one case of haemobilia.

摘要

经静脉胆管造影术是哈纳菲和韦纳所描述的一种直接显示胆管的方法;其主要适应证是用于阻塞性黄疸的检查。该方法无需紧接着立即进行手术,41例患者使用了此方法。3例患者肝静脉插管未成功。其余38例患者中,20例胆管穿刺成功。29例患者存在胆管梗阻,其中19例得到证实。在无梗阻的情况下,该操作仅1例成功。主要并发症为肝包膜下血肿,破裂进入腹腔以及1例胆道出血。

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