Shea J A
Surg Clin North Am. 1985 Feb;65(1):47-58. doi: 10.1016/s0039-6109(16)43532-2.
When clinically suspected, obstructive jaundice presents the clinician with the problem of selecting the most suitable tests and determining the order in which they should be performed. Technology has provided a number of highly specific and quite expensive procedures. The studies most appropriately performed are ultrasonography, percutaneous transhepatic cholangiography, ERCP, flexible choledochoscopy, CT scan of the abdomen, HIDA scan, and intravenous cholangiography. The algorithmic approach is clinically helpful in this situation and is recommended as a useful guide.
临床上怀疑存在梗阻性黄疸时，医生面临着选择最合适的检查以及确定检查执行顺序的问题。技术提供了许多高度特异但相当昂贵的检查方法。最适合进行的检查包括超声检查、经皮经肝胆管造影、内镜逆行胰胆管造影（ERCP）、可弯曲胆管镜检查、腹部CT扫描、肝胆动态显像（HIDA）扫描和静脉胆管造影。在这种情况下，采用算法方法在临床上很有帮助，建议将其作为有用的指南。
