Zusmer N R, Harwood S R, Pevsner N H, Janowitz W R, Serafini A N
Surg Gynecol Obstet. 1978 Sep;147(3):321-7.
In our experience, the ultrasonic examination should be the procedure of choice in the initial investigation of the patient with jaundice. It is independent from liver function and a noninvasive test which can be performed rapidly; in addition, the cause of extrahepatic obstruction can often be determined preoperatively. In our study, in many patients, the rose bengal scintigram has been indeterminate and has not been helpful in predicting whether obstructive or nonobstructive jaundice exists. Rose bengal scintigraphy appears to be of most help only in those patients in whom an adequate sonographic examination cannot be performed. Newer imaging agents currently being developed may prove to be more satisfactory in the future.
根据我们的经验，超声检查应作为黄疸患者初步检查的首选方法。它不依赖肝功能，是一种可快速进行的无创检查；此外，肝外梗阻的病因通常可在术前确定。在我们的研究中，许多患者的玫瑰红闪烁扫描结果不明确，对预测梗阻性或非梗阻性黄疸是否存在并无帮助。玫瑰红闪烁扫描似乎仅对那些无法进行充分超声检查的患者最有帮助。目前正在研发的新型成像剂未来可能会被证明更令人满意。
