Ströhmann G, Drechsler L, Wuschech H
Zentralbl Chir. 1986;111(16):987-94.
Intra-operative ultrasonic tomography has proved to be superior to cholangiography for a number of aspects, including avoidance of both contrast media and radiation exposure as well as increase in potential information due to possible checkup of surrounding regions (gall bladder, liver, pancreas). Accurate coverage of prepapillary area and the papilla proper is somewhat difficult with this method. Bile duct stones were recorded from nine of 52 patients examined by both methods. Concrement stayed undetected by ultrasound in one case and sludge in another. Nevertheless, the assumption is made that under certain conditions intra-operative cholangiography can be substituted with good success by intra-operative ultrasonic tomography.
术中超声断层扫描已在多个方面被证明优于胆管造影，包括避免使用造影剂和辐射暴露，以及由于可能对周围区域（胆囊、肝脏、胰腺）进行检查而增加潜在信息。用这种方法准确覆盖乳头前区域和乳头本身有点困难。两种方法检查的52例患者中有9例记录到胆管结石。1例结石超声未检测到，另1例未检测到胆泥。然而，可以假设在某些情况下，术中超声断层扫描可以成功地替代术中胆管造影。
