黄疸患者的胆管造影术。
Cholangiography in the jaundiced patient.
作者信息
Elias E
出版信息
Gut. 1976 Oct;17(10):801-11. doi: 10.1136/gut.17.10.801.
Abstract
Though local practice will reflect the previously acquired expertise of the operators, it seems reasonable to employ a minimum of percutaneous transhepatic cholangiography, and, ideally, this in combination with ERCP for preoperative cholangiography in patients with cholestatic jaundice. Few cases will defy both techniques. The morbidity is well known and if properly anticipated can be reduced to a minimum by judicious use of antibacterial agents and early surgical intervention when appropriate. Grey-scale ultrasonography by indicating the diameter of the bile ducts enables one to select percutaneous transhepatic cholangiography for dilated ducts and ERCP for non-dilated ducts with an almost 100% success rate for the former and only slightly less for the latter in experienced hands.
摘要
尽管当地的操作会反映出操作者先前获得的专业技能，但采用最少的经皮肝穿刺胆管造影似乎是合理的，理想情况下，对于胆汁淤积性黄疸患者，将其与内镜逆行胰胆管造影（ERCP）联合用于术前胆管造影。很少有病例两种技术都无法实施。其发病率是众所周知的，如果能合理预期，通过明智地使用抗菌药物和在适当的时候尽早进行手术干预，可将发病率降至最低。灰阶超声检查通过显示胆管直径，能够让人们选择对扩张胆管进行经皮肝穿刺胆管造影，对未扩张胆管进行ERCP，在经验丰富的医生手中，前者成功率几乎为100%，后者略低一些。
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