Colquhoun I R, Saywell W R, Dewbury K C
Department of Radiology, Southampton General Hospital.
Br J Radiol. 1988 Apr;61(724):297-300. doi: 10.1259/0007-1285-61-724-297.
Abnormalities were found in 30% of examinations. Comparison of outpatient and family practitioner referrals in cases of suspected gallstones (24%:27%) indicated the value of GP access. There was also evidence, in the absence of a dilated common bile duct, that there was little value in extending the examination of the gallbladder. In post-cholecystectomy syndrome, endoscopic retrograde cholangiography is shown to be the investigation of choice. Abnormalities revealed in lower abdomen examinations were related only to pelvic organs and in this group examination should therefore be confined to this area. Pick-up rates of 15% were found in patients with left upper quadrant pain and a number of miscellaneous conditions. There is a marked increase in positive findings in the presence of a palpable mass.
30%的检查发现了异常情况。对疑似胆结石病例中门诊转诊和家庭医生转诊情况的比较（24%:27%）表明了全科医生问诊的价值。在没有胆总管扩张的情况下，也有证据表明对胆囊进行进一步检查价值不大。在胆囊切除术后综合征中，内镜逆行胆管造影被证明是首选的检查方法。下腹部检查发现的异常仅与盆腔器官有关，因此在这组病例中检查应局限于该区域。左上腹疼痛患者及一些其他病症的检出率为15%。在可触及肿块的情况下，阳性发现显著增加。
