Todua F I, Danilov M V, Karmazanovskii G G, Vikhorev A V, Togonidze N A
Vestn Khir Im I I Grek. 1988 Jan;140(1):39-42.
The article describes the authors' experience with the application of computer tomography (CT) for diagnosis and treatment of 82 patients with mechanical jaundice. Invasive (diagnostic and curative) manipulations under the control of CT were fulfilled in 35 of them. A conclusion is made that CT gives an exact and objective information concerning the state of bile ducts under conditions of mechanical jaundice, confirms its mechanical character, makes differential diagnostics of its causes, allows to estimate the possibility of radical surgery. A highly exact puncture and external drainage of bile ducts under the control of CT are performed and may be the method of choice for diagnostics of alterations and decompression of bile ducts.
本文描述了作者应用计算机断层扫描（CT）诊断和治疗82例机械性黄疸患者的经验。其中35例患者在CT引导下进行了侵入性（诊断性和治疗性）操作。得出的结论是，CT能提供关于机械性黄疸情况下胆管状态的准确客观信息，证实其机械性特征，对其病因进行鉴别诊断，有助于评估根治性手术的可能性。在CT引导下可进行高度精确的胆管穿刺和外引流，这可能是诊断胆管病变和减压的首选方法。
