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[胆石症的疑难诊断:腹腔镜胆管造影和内镜逆行胰胆管造影的优缺点。我们自己的经验]

[Difficult diagnosis of cholelithiasis: advantages and disadvantages of laparoscopic cholangiography and ERCP. Our own experience].

作者信息

Sessa R, de Nucci C, Mazzarelli R, De Simone E, Catuogno F, Vecchione N, Gaeta F

出版信息

Minerva Med. 1985 Feb 25;76(7):251-9.

PMID:3883244
Abstract

On the basis of personal experience (104 LTC and 88 ERCP), the value of direct cholangiography in the diagnosis of biliary lithiasis especially in the event of failure of traditional radiology and in the presence of icterus is confirmed. LTC in 37 patients and ERCP in 18 revealed calculosis of the bile ways, thus correcting a falsely negative echography and i.v. cholangiography to the extent of 70% and 25% respectively. Stress is laid on the importance of direct cholangiography because it is able to establish the site of the stones and, above all, the pathology associated with calculosis, involving not only the bile ways, but the papilla, pancreas and liver too.

摘要

根据个人经验(104例经皮经肝胆道造影术和88例内镜逆行胰胆管造影术),直接胆管造影术在胆石症诊断中的价值得到了证实,尤其是在传统放射学检查失败以及存在黄疸的情况下。37例经皮经肝胆道造影术和18例内镜逆行胰胆管造影术显示存在胆管结石,从而分别纠正了70%的超声检查和25%的静脉胆管造影术的假阴性结果。强调了直接胆管造影术的重要性,因为它能够确定结石的位置,最重要的是,确定与结石症相关的病理情况,不仅涉及胆管,还涉及乳头、胰腺和肝脏。

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