Khandelwal N, Suri S, Katariya S, Malik N, Das K M, Garg K, Gulati M
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh.
Indian J Gastroenterol. 1990 Jan;9(1):51-3.
One hundred and twenty-five consecutive patients with obstructive jaundice were prospectively studied by ultrasonography to determine the level and cause of obstruction. These were diagnosed precisely in 80 (72%) and 52 patients (41.6%) respectively. The results were compared with cholangiography. The final diagnosis was established at surgery (97 cases) and fine needle aspiration cytology (28 cases). While US is an excellent screening modality in distinguishing obstructive and non-obstructive jaundice, cholangiography is still the gold standard for determining the precise anatomic level and cause of obstruction.
对125例连续性梗阻性黄疸患者进行了超声检查的前瞻性研究，以确定梗阻的部位和原因。分别在80例（72%）和52例患者（41.6%）中准确诊断出梗阻部位和原因。将结果与胆管造影进行比较。最终诊断通过手术（97例）和细针穿刺细胞学检查（28例）确定。虽然超声是区分梗阻性和非梗阻性黄疸的优秀筛查方式，但胆管造影仍是确定梗阻的确切解剖部位和原因的金标准。
