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肝胆成像中梗阻性模式的病因学。

Etiology of the obstructive pattern in hepatobiliary imaging.

作者信息

Hughes K S, Marrangoni A G, Turbiner E

出版信息

Clin Nucl Med. 1984 Apr;9(4):222-6. doi: 10.1097/00003072-198404000-00011.

DOI:10.1097/00003072-198404000-00011
PMID:6539182
Abstract

The records of all patients undergoing hepatobiliary imaging at our hospital from January 1980 to March 1983 were reviewed and 29 scans met the criteria for a pattern consistent with complete biliary tract obstruction. Biliary tract obstruction (due to choledocholithiasis, primary or secondary carcinoma involving the common bile duct, and pancreatitis) was documented in 24 of these patients. However, the remaining five patients had a patent common bile duct, and the etiologic factor was intrahepatic cholestasis secondary to sepsis in four and peritonitis in one. A classification of altered biliary dynamics in hepatobiliary imaging, which is based on the classification of jaundice, is proposed.

摘要

回顾了1980年1月至1983年3月在我院接受肝胆成像检查的所有患者的记录,其中29次扫描符合完全性胆道梗阻一致模式的标准。这些患者中有24例记录了胆道梗阻(由于胆总管结石、累及胆总管的原发性或继发性癌以及胰腺炎)。然而,其余5例患者的胆总管通畅,病因是4例败血症和1例腹膜炎继发的肝内胆汁淤积。提出了一种基于黄疸分类的肝胆成像中改变的胆汁动力学分类方法。

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