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[胆囊切除术后功能性胆总管的诊断]

[Functional choledochus diagnosis following cholecystectomy].

作者信息

Frank W, Jantsch H, Lechner G, Pichler W, Schwaighofer B

机构信息

Chirurgischen Universitätsklinik, Allgemeines Krankenhaus Wien.

出版信息

Rofo. 1987 Sep;147(3):303-7. doi: 10.1055/s-2008-1048644.

Abstract

50 patients after cholecystectomy and right upper quadrant pain have been examined by ultrasound for obstructive biliary disease. The value of dynamic changes of the common hepatic duct after a fatty meal in the evaluation of bile duct obstruction was investigated. The accuracy of a negative test in the group of patients with normal bile ducts (n = 27) was 100%. However in patients with dilated bile ducts (n = 23) the value of this test is limited. In this group 3 false negatives in patients with multiple small moveable stones occurred resulting in an accuracy of 86.9%.

摘要

对50例胆囊切除术后出现右上腹疼痛的患者进行了超声检查,以评估是否存在梗阻性胆道疾病。研究了进食脂肪餐后肝总管动态变化在评估胆管梗阻中的价值。胆管正常的患者组(n = 27)中阴性检查的准确性为100%。然而,在胆管扩张的患者组(n = 23)中,该检查的价值有限。在该组中,3例有多颗可移动小结石的患者出现假阴性结果,导致准确率为86.9%。

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