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碘番酸增强胆囊造影的可靠性

The reliability of cholecystography with calcium ipodate augmentation.

作者信息

Seymour E Q

出版信息

Am Surg. 1980 Jun;46(6):352-4.

PMID:6772057
Abstract

Sixty-one patients who underwent augmentation cholecystography with calcium ipodate (Oragrafin calcium granules) were reviewed. Sixty-four per cent (39/61) of nonvisualizing or poorly visualizing cholecystograms were converted to well-visualizing studies, of which 26 per cent (10/39) involved cholethiasis. In 55 per cent of the cholecystograms (12/22) that remained nonvisualizing or poorly visualizing, patients were found to have gallstones. The remaining cases of poor or nonvisualizing cholecytograms were associated with abnormal liver function, cholecystitis, and pancreatitis. If the gallbladder is nonvisualized with a calcium ipodate augmentation technique it is reliable evidence of gallbladder disease, and is likely cholelithiasis when extrinsic factors affecting contrast absorption or liver function are excluded.

摘要

对61例接受碘泊酸钙(Oragrafin钙颗粒)增强胆囊造影的患者进行了回顾性研究。64%(39/61)胆囊造影未显影或显影不佳的病例转变为显影良好的检查结果,其中26%(10/39)与胆石症有关。在55%(12/22)仍未显影或显影不佳的胆囊造影中,患者被发现有胆结石。其余胆囊造影显影不佳或未显影的病例与肝功能异常、胆囊炎和胰腺炎有关。如果采用碘泊酸钙增强技术胆囊未显影,这是胆囊疾病的可靠证据,并且在排除影响造影剂吸收或肝功能的外在因素后很可能是胆石症。

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