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腹腔镜胆管造影术在胆汁淤积诊断中的应用:103例经验

Laparoscopic cholangiography in the diagnosis of cholestasis: experience with 103 cases.

作者信息

Cortesi N, Canossi G C, Zambarda E, Manenti A, Gibertini G, Gotuzzo L

出版信息

Gastrointest Radiol. 1978 Jun 25;3(2):185-90. doi: 10.1007/BF01887062.

DOI:10.1007/BF01887062
PMID:149687
Abstract

The results of 103 laparoscopic cholangiographies performed in patients with cholestasis are reported and the technique used is described. Minimal or no secondary effects were noted. A correct diagnosis was reached in 92 cases, 53 of which presented cholestasis of an extrahepatic nature and 39 of intrahepatic origin. In the latter group, the technique made exploratory laparotomy unnecessary. The procedure allows a roentgenologic examination of the biliary system, a direct evaluation of the liver and gallbladder and, if necessary, a liver biopsy.

摘要

报告了对103例胆汁淤积患者进行腹腔镜胆管造影的结果,并描述了所使用的技术。观察到的副作用极小或没有。92例诊断正确,其中53例为肝外性胆汁淤积,39例为肝内性胆汁淤积。在后一组中,该技术使剖腹探查术不再必要。该程序允许对胆道系统进行X线检查,直接评估肝脏和胆囊,必要时还可进行肝活检。

相似文献

1
Laparoscopic cholangiography in the diagnosis of cholestasis: experience with 103 cases.腹腔镜胆管造影术在胆汁淤积诊断中的应用:103例经验
Gastrointest Radiol. 1978 Jun 25;3(2):185-90. doi: 10.1007/BF01887062.
2
[Lateral transparietal cholangiography. Okuda's technic. Remarks apropos of 111 examinations].[经侧顶叶胆管造影术。奥田技术。关于111例检查的评论]
Nouv Presse Med. 1977 Mar 12;6(10):825-8.
3
[Transhepatic percutaneous cholangiography with the Chiba needle in diagnosis of cholestasis].经皮经肝穿刺胆管造影术(使用千叶针)在胆汁淤积诊断中的应用
Minerva Chir. 1980;35(15-16):1145-52.
4
A randomized trial of percutaneous transhepatic cholangiography with the Chiba needle versus endoscopic retrograde cholangiography for bile duct visualization in jaundice.用千叶针经皮肝穿刺胆管造影术与内镜逆行胆管造影术对黄疸患者胆管显影的随机试验。
Gastroenterology. 1976 Sep;71(3):439-43.
5
[Echography-guided percutaneous cholangiography in the diagnosis of the causes of mechanical jaundice].
Vestn Khir Im I I Grek. 1992 Sep-Oct;149(9-10):176-80.
6
Diagnostic value of percutaneous transhepatic cholangiography judged by personal experience of 58 patients.根据58例患者的个人经验判断经皮肝穿刺胆管造影的诊断价值。
Clin Radiol. 1979 Jul;30(4):451-5. doi: 10.1016/s0009-9260(79)80231-7.
7
Percutaneous cholangiography with the Okuda needle.用奥田针进行经皮胆管造影术。
Gut. 1977 Aug;18(8):610-4. doi: 10.1136/gut.18.8.610.
8
[Transparieto-hepatic cholangiography with Chiba needle].
Acta Gastroenterol Latinoam. 1980;10(1):13-20.
9
[Percutaneous transhepatic cholangiography in the diagnosis of cholestasis].
Medicina (B Aires). 1982;42(5):463-8.
10
Ultrasonically-guided percutaneous transcholecystic cholangiography--an alternative approach in cases of biliary obstruction and failure of percutaneous transhepatic cholangiography.超声引导下经胆囊经皮胆管造影术——胆管梗阻及经皮肝穿刺胆管造影失败病例的一种替代方法。
Hepatogastroenterology. 1988 Dec;35(6):268-70.

本文引用的文献

1
[Laparoscopic cholangiography (direct cholangiography)].[腹腔镜胆管造影术(直接胆管造影术)]
Rev Foie. 1950 May-Jun;9(3):125-35.
2
[A new technic of laparoscopic (preoperative) cholangiography by transparietohepatic puncture of the gallbladder; description of two cases; preventive note].[一种通过经皮肝穿刺胆囊进行腹腔镜(术前)胆管造影的新技术;两例病例描述;预防注意事项]
Minerva Med. 1953 May 26;44(42):1409-14.
3
[Laparoscopic cholangiography. Technic and results].[腹腔镜胆管造影术。技术与结果]
Presse Med (1893). 1970 Dec 26;78(55):2471-4.
4
An integrated procedure for the rapid diagnosis of biliary obstruction, portal hypertension and liver disease of uncertain etiology.一种用于快速诊断胆道梗阻、门静脉高压及病因不明的肝病的综合方法。
N Engl J Med. 1971 Nov 25;285(22):1225-31. doi: 10.1056/NEJM197111252852204.
5
A direct approach to the differential diagnosis of jaundice. Laparoscopy with transhepatic cholecystocholangiography.黄疸鉴别诊断的直接方法。腹腔镜检查联合经肝胆囊胆管造影术。
Am J Surg. 1973 Sep;126(3):372-8. doi: 10.1016/s0002-9610(73)80127-8.
6
[Letter: Etiological diagnosis of cholestatic icterus using mini-laparotomy].[信件:使用小切口剖腹术对胆汁淤积性黄疸进行病因诊断]
Nouv Presse Med. 1976 Apr 17;5(16):1065.
7
[Etiological diagnosis of cholestatic icterus by mini-laparotomy].
Nouv Presse Med. 1976 Sep 25;5(31):1995-6.
8
[Lateral transparietal cholangiography. Okuda's technic. Remarks apropos of 111 examinations].[经侧顶叶胆管造影术。奥田技术。关于111例检查的评论]
Nouv Presse Med. 1977 Mar 12;6(10):825-8.
9
[Laparoscopic cholangiography in the diagnosis of jaundice].
J Radiol Electrol Med Nucl. 1975;56 suppl 1:77-8.