Matzen P, Malchow-Møller A, Lejerstofte J, Stage P, Juhl E
Scand J Gastroenterol. 1982 Sep;17(6):731-5. doi: 10.3109/00365528209181086.
To establish principles for choosing between endoscopic retrograde and percutaneous transhepatic cholangiography, we randomized 52 consecutive jaundiced patients with clinically suspected obstructive jaundice. The bile ducts were visualized in 85% by the endoscopic and in 84% by the transhepatic route. A conclusive diagnosis was reached in 89% and 68% of the patients, respectively, but the difference is not significant (0.10 less than P less than 0.20). If the planned type of cholangiography failed, the other method was tried. By comparing the total numbers of investigations, a conclusive diagnosis was achieved in 91% by endoscopic and 69% by transhepatic route, which is significantly different (P less than 0.05). We therefore prefer to do endoscopic cholangiography initially with transhepatic cholangiography as the complementary method.
为确立在内镜逆行胆管造影术和经皮经肝胆管造影术之间进行选择的原则，我们将52例临床怀疑为梗阻性黄疸的连续黄疸患者进行了随机分组。通过内镜检查胆管显影的患者占85%，经肝途径显影的患者占84%。分别有89%和68%的患者得出了确定性诊断，但差异无统计学意义（0.10＜P＜0.20）。如果计划的胆管造影术失败，则尝试另一种方法。通过比较检查总数，内镜检查得出确定性诊断的比例为91%，经肝途径为69%，差异有统计学意义（P＜0.05）。因此，我们更倾向于首先进行内镜胆管造影术，将经皮经肝胆管造影术作为补充方法。
