Tondelli P, Schuppisser J P, Lüscher N, Allgöwer M
Helv Chir Acta. 1980 Feb;46(5-6):795-8.
The following tests were evaluated during biliary tract surgery: pressure controlled cholanlgiography, pressure measurement in the common duct, flow measurement through the papilla before and after administration of cholecystokinin. In a retrospective series of 122 patients with duct stones cholangiography was most accurate in detecting stones: 98%. In a prospective and retrospective series of totally 183 patients with obstruction at the papilla the following accuracy in detecting obstructions was achieved: cholangiography 72%, pressure measurement 72%, flow measurement 89%, combination of the tests 94%. In addition the importance of distinguishing a papillary spasm from an organic obstruction was shown with the cholecystokinin test. Cholangiography is adequate for the diagnosis of duct stones. However, additional measurement of pressure and flow is necessary for the diagnosis of obstructions at the papilla.
压力控制胆管造影、胆总管压力测量、注射胆囊收缩素前后通过乳头的流量测量。在一项对122例胆管结石患者的回顾性研究中，胆管造影在检测结石方面最为准确：准确率为98%。在一项包括183例乳头梗阻患者的前瞻性和回顾性研究中，检测梗阻的准确率如下：胆管造影72%，压力测量72%，流量测量89%，联合测试94%。此外，胆囊收缩素试验显示了区分乳头痉挛和器质性梗阻的重要性。胆管造影足以诊断胆管结石。然而，对于乳头梗阻的诊断，还需要额外测量压力和流量。
