Addley J, Mitchell R M
Department of Gastroenterology, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, UK.
Curr Gastroenterol Rep. 2012 Dec;14(6):511-9. doi: 10.1007/s11894-012-0285-1.
The causes of obstructive jaundice are varied, and timely, accurate methods of investigation are essential to avoid the development of complications. Imaging, invasive or non-invasive, should be carefully selected depending on the suspected underlying pathology in order to determine the degree and level of obstruction along with tissue acquisition and staging where relevant. Several imaging techniques will also allow subsequent therapeutic interventions to be carried out. This article reviews advances in the investigation of obstructive jaundice, highlighting recent developments, many of which at present remain restricted to large centres of expertise, but are likely to become more widespread in use as research progresses and local experience continues to improve.
梗阻性黄疸的病因多种多样，及时、准确的检查方法对于避免并发症的发生至关重要。应根据疑似潜在病理情况仔细选择影像学检查方法，无论是有创还是无创的，以确定梗阻的程度和部位，以及在相关情况下获取组织并进行分期。几种影像学技术还将允许进行后续的治疗干预。本文综述了梗阻性黄疸检查方面的进展，重点介绍了近期的发展情况，其中许多目前仍局限于大型专业中心，但随着研究的进展和当地经验的不断提高，可能会得到更广泛的应用。
