Cheng T H, Davis M A, Seltzer S E, Jones B, Abbruzzese A A, Finberg H J, Drum D E
Radiology. 1979 Dec;133(3 Pt 1):761-7. doi: 10.1148/133.3.761.
Cholescintigraphy, ultrasonography, and contrast cholangiography were compared in 60 patients. Among those having abdominal pain but no biliary disease or jaundice, cholescintigraphy was normal in 14/14, ultrasound in 10/13, and cholangiography in 13/14. Jaundice due to hepatocellular disease was correctly distinguished from complete biliary obstruction by cholescintigraphy in 17/17 patients and by ultrasound in 14/17. In cholelithiasis, ultrasound was abnormal in 10/12 and cholangiography in 7/9. Cholescintigraphy appeared most sensitive to active cholecystitis; only cholangiography and ultrasound visualized gallstones.
对60例患者的胆管闪烁造影、超声检查和胆管造影进行了比较。在那些有腹痛但无胆道疾病或黄疸的患者中，14例中有14例胆管闪烁造影结果正常，13例中有10例超声检查正常，14例中有13例胆管造影正常。在17例肝细胞性疾病所致黄疸患者中，胆管闪烁造影正确区分出17例中的17例肝细胞性黄疸与完全性胆道梗阻，超声检查正确区分出17例中的14例。在胆结石患者中，12例中有10例超声检查异常，9例中有7例胆管造影异常。胆管闪烁造影对急性胆囊炎似乎最为敏感；只有胆管造影和超声检查能显示胆结石。
