Trofimov V M
Vestn Khir Im I I Grek. 1975 May;114(5):45-9.
162 endoscopic studies were conducted in 158 patients. It was found that in obscure cases peritoneoscopy could be successfully employed for differential diagnosis between mechanic and parenchymatous jaundice. Irrespective of the duration of jaundice a reliable information can be obtained endoscopically, in particular in bilirubinemia being over 5 mg%. A peritoneoscopic conclusion as to the character of jaundice was correct in 87% of cases. By means of peritoneoscopy, judging by the appearance of the liver, one could have an idea about the site and character of obturation of bile ducts in over a half of patients.
对158例患者进行了162次内镜检查。发现在不明原因的病例中,腹腔镜检查可成功用于机械性黄疸和实质性黄疸的鉴别诊断。无论黄疸持续时间长短,内镜检查均可获得可靠信息,尤其是在胆红素血症超过5mg%时。腹腔镜检查对黄疸性质的判断在87%的病例中是正确的。通过腹腔镜检查,根据肝脏外观,在一半以上的患者中可以了解胆管梗阻的部位和性质。