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[计算机断层扫描在机械性黄疸合并胆总管远端疾病诊断中的应用]

[Computed tomography in the diagnosis of mechanic jaundice complicated with diseases of the distal common bile duct].

作者信息

Todua F I, Karmazanovskiĭ G G, Vikhorev A V

出版信息

Vestn Rentgenol Radiol. 1991 Mar-Apr(2):15-22.

PMID:1364774
Abstract

Computerized tomography (CT) is a noninvasive indirect method of instrumental investigation for imaging the liver, bile ducts and the adjacent organs. CT enables one to confirm objectively the mechanical nature of jaundice, to assess a degree and level of involvement of the biliary tract, to assess the nature and spreading of disease. CT sensitivity for the diagnosis of pancreatic head cancer was 78.8%, specificity-91.3%, that for choledocholithiasis--84.6%, specificity--96.7%. CT in jaundice made it possible to establish diagnosis at various levels of accuracy: from differentiation of mechanical and parenchymatous jaundices to preliminary assessment of malignant tumor resectability facilitating a choice of surgical tactics.

摘要

计算机断层扫描(CT)是一种用于肝脏、胆管及相邻器官成像的无创间接仪器检查方法。CT能够客观地证实黄疸的机械性本质,评估胆道受累的程度和水平,评估疾病的性质和扩散情况。CT对胰头癌的诊断敏感性为78.8%,特异性为91.3%;对胆总管结石的诊断敏感性为84.6%,特异性为96.7%。CT用于黄疸检查时,能够在不同准确程度上做出诊断:从区分机械性黄疸和实质性黄疸,到初步评估恶性肿瘤的可切除性,从而有助于选择手术策略。

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Vestn Rentgenol Radiol. 1991 Mar-Apr(2):15-22.
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