Hashimoto T, Yura J
J Pediatr Surg. 1981 Feb;16(1):22-5. doi: 10.1016/s0022-3468(81)80109-1.
Percutaneous transhepatic cholangiography (PTC) was carried out in 30 cases of biliary atresia, 19 prior to surgery, and 11 following hepatic portoenterostomy. The intrahepatic biliary system was demonstrated in 47% of the patients prior to surgery and in all cases following surgery. Two distinct patterns of intrahepatic bile ducts were noted. The first shows changes similar to those noted by intrahepatic cholangiography in patients with choledochal cyst, as in type A. The second pattern shows collections of numerous narrow proliferated bile ducts that constitute the ducts within and outside the liver as in type B. In patients with recurrent ascending cholangitis or symptoms suggestive of stenosis of the hepatointestinal anastomosis following Kasai-type operations for biliary atresia, PTC is useful in determining the structure of the hepatobiliary ductal system prior to reexploration procedures.
对30例胆道闭锁患者进行了经皮肝穿刺胆管造影（PTC），其中19例在手术前进行，11例在肝门肠吻合术后进行。术前47%的患者显示出肝内胆管系统，术后所有病例均显示出肝内胆管系统。观察到两种不同的肝内胆管模式。第一种显示出与胆总管囊肿患者肝内胆管造影所见相似的变化，如A型。第二种模式显示出许多狭窄增生胆管的聚集，这些胆管构成了肝内外的胆管，如B型。对于胆道闭锁行Kasai型手术后复发性上行性胆管炎或提示肝肠吻合口狭窄症状的患者，PTC有助于在再次探查手术前确定肝胆管系统的结构。
