Farkas I, Tulassay Z, Papp J, Szebeni A, Szilvási I, Patkó A
Dtsch Z Verdau Stoffwechselkr. 1981;41(5):225-34.
The authors examined the diagnostical possibilities of the liver and bile duct cysts with different origin. On the base of the literature and own experiences surveyed the specific signs and the diagnostic value of peritoneoscopy, liver biopsy, scintigraphy, angiography, gray-scale ultrasonography, ERCP and PTC in the hepato-biliary cysts. GSU is the most suitable method to demonstrate the cystous character, but the connection with the biliary tract can be verified by ERCP. Peritoneoscopy is the best procedure in the diagnosis of the polycystic liver; the congenital liver fibrosis can be recognized by biopsy, only. The hepato-biliary cysts can be separated preoperative with the parallel adoption of these methods, in the majority of cases.
作者研究了不同起源的肝脏和胆管囊肿的诊断可能性。基于文献和自身经验，调查了腹腔镜检查、肝活检、闪烁扫描、血管造影、灰阶超声检查、内镜逆行胰胆管造影（ERCP）和经皮肝穿刺胆管造影（PTC）在肝胆囊肿中的特殊体征及诊断价值。灰阶超声检查是显示囊肿特征最合适的方法，但与胆道的连接可通过ERCP来证实。腹腔镜检查是诊断多囊肝的最佳方法；先天性肝纤维化只能通过活检来识别。在大多数情况下，并行采用这些方法可在术前区分肝胆囊肿。
