Riemann J F, Kohler B, Harloff M, Weber J
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen.
Dtsch Med Wochenschr. 1989 Nov 17;114(46):1775-9. doi: 10.1055/s-2008-1066827.
Transpapillary cholangioscopy (TCS) was performed in 52 patients (12 men, 40 women; mean age 61.6 [39-86] years) in whom endoscopic retrograde cholangiography had not provided a firm diagnosis. TCS was unsuccessful in five patients for technical or anatomical reasons. In 33 of the remaining 47 patients (70%) the procedure gave diagnostically or therapeutically useful results: In seven patients with tumour in the biliary tract biopsies were obtained, while in eight with extraductal stenoses cholangiography was made possible and provided the diagnosis. In eight patients residual gall stones were removed; in three cholangioscopically guided lithotripsy was successful. TCS proved to be a simple method with few complications; it significantly improved the diagnosis and treatment of diseases in the biliary tract.
对52例（男性12例，女性40例；平均年龄61.6[39 - 86]岁）经内镜逆行胆管造影未能明确诊断的患者进行了经乳头胆管镜检查（TCS）。由于技术或解剖学原因，5例患者的TCS检查未成功。在其余47例患者中的33例（70%），该操作取得了诊断或治疗方面有用的结果：7例胆道肿瘤患者获得了活检组织，8例胆管外狭窄患者得以进行胆管造影并明确了诊断。8例患者取出了残留胆结石；3例患者经胆管镜引导的碎石术成功。TCS被证明是一种简单且并发症少的方法；它显著改善了胆道疾病的诊断和治疗。
