Kuzin M I, Vetshev V S, Lingart O, Vetyshka Ia, Lotov A N, Alimov A N
Khirurgiia (Mosk). 1990 Feb(2):10-4.
The diagnostic value of intraoperative cholangiography (IV) is shown on the basis of analysis of data in the literature and material of two surgical clinics. Statistically significant criteria of the risk of cholangiolithiasis in patients with calculous cholecystitis are identified, which are indications for IC. It is shown that in substantiated rejection of IC the possibility of a diagnostic error is minimal. In tentative diagnosis of cholangiolithiasis in the case, and, consequently, in the choice of the required diagnostic manipulations and methods one should proceed from the principle of reasonable adequacy in a specific case.
基于对文献数据和两家外科诊所资料的分析，展示了术中胆管造影（IV）的诊断价值。确定了结石性胆囊炎患者胆管结石形成风险的统计学显著标准，这些标准是进行术中胆管造影的指征。结果表明，在有充分理由拒绝术中胆管造影的情况下，诊断错误的可能性极小。在疑似胆管结石的病例中进行初步诊断时，因此在选择所需的诊断操作和方法时，应从具体病例中合理充分性的原则出发。
