Garretti L, Bocchini R, Russo F
Minerva Med. 1986 Mar 17;77(11):345-50.
There are discordant opinions in literature on the techniques of execution of the cholecystography. The authors have examined 104 consecutive patients with the clinical suspicion of gallstones in order to verify the usefulness of the plain radiogram and of the cholecystokinetic test. All the patients have been studied systematically with the plain radiogram of the hepatic region, with cholecystography completed by cholecystokinetic test and with ultrasound. In two cases of radiopaque gallstones (7.1%) the plain radiogram was indispensable for the diagnosis while the cholecystokinetic test has permitted to visualize, in one patient (3.5%), a small radiopaque gallstone previously hidden by the gallbladder opacity. In one subject (50%) the cholecystokinetic test has permitted the identification of a small adenomyoma later confirmed by ultrasound. As a conclusion, the diagnostic accuracy of the cholecystography is inferior to that of ultrasound (in the diagnosis of gallbladder stones and adenomyoma) if the first one is not integrated both with the plain radiogram and with the cholecystokinetic test; the Authors consider on the other side, that this last procedures can be substituted if cholecystography is systematically associated to ultrasound examination.
关于胆囊造影的实施技术，文献中有不同观点。作者检查了104例临床怀疑有胆结石的连续患者，以验证腹部平片和胆囊动力学试验的效用。所有患者均系统地进行了肝脏区域的腹部平片检查、通过胆囊动力学试验完成的胆囊造影以及超声检查。在2例不透X线胆结石病例（7.1%）中，腹部平片对诊断必不可少，而胆囊动力学试验在1例患者（3.5%）中使一颗先前被胆囊不透光阴影掩盖的小不透X线胆结石显影。在1例患者（50%）中，胆囊动力学试验使一个小的腺肌瘤得以识别，后来经超声证实。结论是，如果不将胆囊造影与腹部平片及胆囊动力学试验相结合，其诊断准确性低于超声（在诊断胆囊结石和腺肌瘤方面）；另一方面，作者认为，如果胆囊造影与超声检查系统联合，最后这些检查步骤可以替代。
