vanSonnenberg E, Casola G, Cubberley D A, Halasz N A, Cabrera O A, Wittich G R, Mattrey R F, Scheible F W
AJR Am J Roentgenol. 1986 Feb;146(2):327-31. doi: 10.2214/ajr.146.2.327.
Diagnostic and therapeutic radiologic experience with six patients who had oriental cholangiohepatitis is described. These patients combined had 10 prior operations. Postoperatively each had recurrent cholangitis, numerous stones, concretions, and/or bile duct strictures. Diagnostically, sonography was valuable in the detection of intra- and extrahepatic stones and extrahepatic dilatation of ducts. An important pitfall in sonography was poor visualization of intrahepatic ductal dilatation (due to echogenic sludge filling the ducts) in most patients. CT was helpful diagnostically in all respects. Interventional procedures used postoperatively included percutaneous transhepatic intrahepatic stones, and flushing techniques. Most patients were treated during multiple sessions as outpatients. Cholangitis was the only complication from the procedures. Sectional imaging and interventional radiology perform valuable diagnostic and therapeutic roles in the pre- and postoperative management of patients with oriental cholangiohepatitis.
本文描述了对6例东方型胆管炎患者的诊断和治疗性放射学经验。这些患者总共接受过10次先前的手术。术后，每位患者均患有复发性胆管炎、大量结石、胆泥和/或胆管狭窄。在诊断方面，超声检查对于检测肝内和肝外结石以及肝外胆管扩张很有价值。超声检查的一个重要陷阱是，大多数患者肝内胆管扩张的可视化效果较差（由于胆管内充满了回声性胆泥）。CT在各方面的诊断中都很有帮助。术后采用的介入治疗包括经皮经肝胆管取石和冲洗技术。大多数患者作为门诊患者在多个疗程中接受治疗。胆管炎是这些治疗的唯一并发症。断层成像和介入放射学在东方型胆管炎患者的术前和术后管理中发挥着重要的诊断和治疗作用。
