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口服胆囊造影术的初步腹部平片:有必要吗?

Preliminary abdominal films in oral cholecystography: are they necessary?

作者信息

Harned R K, LeVeen R F

出版信息

AJR Am J Roentgenol. 1978 Mar;130(3):477-9. doi: 10.2214/ajr.130.3.477.

DOI:10.2214/ajr.130.3.477
PMID:415553
Abstract

A survey of 45 radiologists with a special interest in gastrointestinal radiology showed that only 8% used a preliminary abdominal film for oral cholecystography. Review of 467 cases of oral cholecystography with preliminary films over a 1 year period disclosed 88 confirmed cases of cholelithiasis. Of these 88 cases, 27% had opaque gallstones visible on the preliminary film. In one-third of the cases, the opaque gallstones had a classic diagnostic appearance, while the remainder required oral cholecystography for confirmation. Opaque calculi were obscured by oral contrast material in 2% of cases. Other significant pathology on the preliminary films was found in 5.5% of the 467 cases.

摘要

一项针对45名对胃肠放射学有特殊兴趣的放射科医生的调查显示,只有8%的人在口服胆囊造影时使用初步腹部平片。对1年内467例有初步平片的口服胆囊造影病例进行回顾,发现88例确诊为胆结石。在这88例病例中,27%在初步平片上可见不透光胆结石。在三分之一的病例中,不透光胆结石具有典型的诊断表现,而其余病例则需要口服胆囊造影来确诊。2%的病例中,不透光结石被口服造影剂遮挡。在467例病例中的5.5%的初步平片上发现了其他重要病变。

相似文献

1
Preliminary abdominal films in oral cholecystography: are they necessary?口服胆囊造影术的初步腹部平片:有必要吗?
AJR Am J Roentgenol. 1978 Mar;130(3):477-9. doi: 10.2214/ajr.130.3.477.
2
Obscuration of opaque gallstones in oral cholecystography.口服胆囊造影中不透明胆结石的遮蔽现象。
J Can Assoc Radiol. 1974 Mar;25(1):55-7.
3
Oral cholecystography. Experimental investigation and clinical comparison of 70-mm film and full-scale radiography.口服胆囊造影术。70毫米胶片与全尺寸X线摄影的实验研究及临床比较。
Acta Radiol Diagn (Stockh). 1970 Nov;10(6):499-512. doi: 10.1177/028418517001000607.
4
The value of plain radiographs prior to oral cholecystography.口服胆囊造影术前平片的价值。
Radiology. 1979 Nov;133(2):309-10. doi: 10.1148/133.2.309.
5
Oral cholecystography in contemporary gallstone imaging: a review.
Radiology. 1991 Jan;178(1):49-58. doi: 10.1148/radiology.178.1.1984325.
6
[Gallstones in children. Report of one case and review of the literature (author's transl)].[儿童胆结石。1例报告并文献复习(作者译)]
An Esp Pediatr. 1976 Nov-Dec;9(6):602-11.
7
[Indications and technics of cholegraphy (cholecystography)].[胆囊造影术的适应症与技术]
Orv Hetil. 1974 Apr 28;115(17):997-8.
8
Floating gallstones: the role of contrast material.漂浮性胆结石:造影剂的作用
J Clin Ultrasound. 1980 Jun;8(3):227-31. doi: 10.1002/jcu.1870080308.
9
Ultrasound and false normal oral cholecystogram.超声检查与假正常口服胆囊造影
Arch Surg. 1978 Jul;113(7):877-9. doi: 10.1001/archsurg.1978.01370190099019.
10
Ultrasonic and radiographic cholecystography.超声和放射胆囊造影术。
N Engl J Med. 1977 Mar 10;296(10):538-41. doi: 10.1056/NEJM197703102961004.

引用本文的文献

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Large solitary gallbladder calculus resembling multipolypoid cholesterolosis: case report.酷似多息肉样胆固醇沉着症的巨大孤立性胆囊结石:病例报告
Gastrointest Radiol. 1983;8(4):337-9. doi: 10.1007/BF01948146.