Wójtowicz J, Karwowski A
Rofo. 1977 Nov;127(5):417-21.
Percutaneous transphepatic cholangiography patterns of intrahepatic bile ducts in 134 patients were analysed. The majority of case material consisted of gallstone disease and complications of its surgery (44 cases) and secondary or primary neoplasms of the liver (40 cases). A satisfactory filling of the peripheral bile ducts was obtained after drainage of bile and with an injection of somewhat increased quantities of contrast medium into the biliary system. PTC was found to be highly effective in detecting space occupying lesions of neoplastic origin i.e. sensitivity-90 percent, specificity-95 percent, predictive value of a positive result-88 percent. PTC patterns of liver cirrhosis with concommitant extraheptic obstruction, chronic cholangitis, congenital ectasia of the bile ducts, liver abscesses are described. Although PTC is aimed primarily at the detection of nature and level of the extraheptic biliary obstruction there is no essential reason for neglecting its possibilities in recognizing intrahepatic disease.
分析了134例患者肝内胆管的经皮经肝胆道造影模式。大部分病例资料包括胆结石病及其手术并发症（44例）和肝脏继发性或原发性肿瘤（40例）。在胆汁引流后并向胆道系统注入稍增加量的造影剂后，外周胆管获得了满意的充盈。发现经皮经肝胆道造影在检测肿瘤性起源的占位性病变方面非常有效，即敏感性为90%，特异性为95%，阳性结果预测值为88%。描述了伴有肝外梗阻、慢性胆管炎、先天性胆管扩张、肝脓肿的肝硬化的经皮经肝胆道造影模式。虽然经皮经肝胆道造影主要旨在检测肝外胆道梗阻的性质和水平，但没有根本理由忽视其在识别肝内疾病方面的可能性。
