Wenz W, Wimmer B
Langenbecks Arch Chir. 1981;355:257-62. doi: 10.1007/BF01286852.
Sonography and abdominal survey are the basic image-producing examinations in obstructive jaundice. Excretory cholegraphy fails when the serum bilirubin level is more than 2 mg%. The method of choice for direct visualization of the biliary tract is to try an endoscopic retrograde contrast injection. If this fails, percutaneous transhepatic cholegraphy may be offered with more than 90% accuracy. This simple technique is easily changed into percutaneous biliary drainage. Our experience with more than 120 cases is reported.
超声检查和腹部检查是梗阻性黄疸的基本成像检查。当血清胆红素水平超过2mg%时,排泄性胆道造影就无法进行。直接观察胆道的首选方法是尝试内镜逆行造影剂注射。如果这种方法失败,可以进行经皮经肝胆道造影,其准确率超过90%。这种简单的技术很容易转变为经皮胆道引流。本文报告了我们120多例病例的经验。