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[胆囊切除术后胆管的超声检查]

[Ultrasonography of the bile ducts after cholecystectomy].

作者信息

Tsyb A F, Dergachev A I

出版信息

Vestn Rentgenol Radiol. 1991 Mar-Apr(2):11-4.

PMID:1364773
Abstract

The paper is concerned with the results of multiprojectional ultrasound investigation of the biliferous system in 68 patients at varying time after cholecystectomy. In most cases (77.9%) signs of dilated biliary ducts were undetectable. Dilatation of the hepaticodoch was most frequently determined by choledolithiasis, stricture or stenosing papillitis, rarely--by pancreatic head cancer. Investigation of the biliary ducts in patients after cholecystectomy should be started with ultrasound tomography; endoscopic retrograde cholangiopancreatography or i.v. cholangiography and dynamic cholescintigraphy were indicated after the detection of the signs of dilated ducts (the anteroposterior diameter of the common hepatic duct was over 6 mm).

摘要

本文关注的是68例胆囊切除术后不同时间的患者胆系多平面超声检查结果。在大多数病例(77.9%)中,未检测到胆管扩张迹象。肝外胆管扩张最常见的原因是胆总管结石、狭窄或乳头狭窄炎,很少由胰头癌引起。胆囊切除术后患者的胆管检查应首先进行超声断层扫描;在检测到胆管扩张迹象(肝总管前后径超过6mm)后,应进行内镜逆行胰胆管造影或静脉胆管造影以及动态胆系闪烁造影。

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