Rogoveanu Ion, Gheonea Dan Ionut, Saftoiu Adrian, Ciurea Tudorel
1st Medical Clinic, Gastroenterology Department, University of Medicine and Pharmacy, Str. Tabaci 1, 200642 Craiova, Romania.
J Gastrointestin Liver Dis. 2006 Sep;15(3):265-71.
Transabdominal ultrasonography is the first choice examination used for the etiological diagnosis of extrahepatic cholestasis because it is a noninvasive, rapid method and presently widely accessible. In this article we discuss the accuracy of transabdominal ultrasonography, computed tomography (CT), endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasonography (EUS) in detecting the main causes of extrahepatic colestasis. Although in bile duct pathology, and especially in the evaluation of patients with jaundice, transabdominal ultrasonography is the first choice exploration, helicoidal CT, ERCP and MRCP are often required to establish the local cause of jaundice, local and distant consequences evaluation, appreciation of surgical intervention opportunity and choice of the right therapeutic method.
经腹超声检查是肝外胆汁淤积病因诊断的首选检查方法，因为它是非侵入性、快速的方法，目前广泛可用。在本文中，我们讨论经腹超声检查、计算机断层扫描（CT）、内镜逆行胰胆管造影（ERCP）、磁共振胰胆管造影（MRCP）和内镜超声检查（EUS）在检测肝外胆汁淤积主要病因方面的准确性。尽管在胆管病变中，尤其是在黄疸患者的评估中，经腹超声检查是首选的检查方法，但通常需要螺旋CT、ERCP和MRCP来确定黄疸的局部病因、评估局部和远处后果、判断手术干预时机以及选择正确的治疗方法。
