Klose K J, Thelen M, Schild H H
Institut für Klinische Strahlenkunde, Johannes Gutenberg-Universität Mainz.
Rofo. 1988 Jul;149(1):39-43. doi: 10.1055/s-2008-1048291.
Percutaneous transhepatic fine calibre cholangioscopy is described. A specially developed transparent instrument is used, which makes it unnecessary to have a steerable endoscope; visualisation of the biliary tree is of diagnostic value for assessing biliary stenoses due to tumours (choice of biopsy site, extent of intraductal radiation therapy) and for the assessment of anastomoses between the biliary system and the gut (condition of the mucosa, stenoses). In the presence of percutaneous biliary drainage, the method has little utility. Extension of the method for treating intraductal stones may be possible if in future a useful lumen can be added to the fine endoscope.
本文描述了经皮经肝细径胆管镜检查。使用了一种专门开发的透明器械，无需使用可转向的内窥镜；胆管树的可视化对于评估肿瘤引起的胆管狭窄（活检部位的选择、导管内放射治疗的范围）以及评估胆道系统与肠道之间的吻合情况（粘膜状况、狭窄）具有诊断价值。在存在经皮胆道引流的情况下，该方法实用性不大。如果未来能在细径内窥镜上增加有用的管腔，则可能扩展该方法用于治疗导管内结石。
