Kratochwil A
Z Gesamte Inn Med. 1980 Aug 15;35(16):650-9.
The ultrasound diagnostics is of high value in revealing the diseases of the biliary ducts. Prerequisite for an exact diagnosis is an exact knowledge of the arterial, venous and biliary vascular systems of the porta hepatis. Using real-time-devices a differential diagnosis of these several systems can quickly be made in systematic examination. The examination is indicated at suspicion for cholelithiasis, cholecystitis, choledocholithiasis and obstructive jaundice. The differential diagnostic criteria are demonstrated. The number of success in cholecystolithiais for the ultrasound diagnostics is at present 93%. In differentiation of the obstructive jaundice it is about 85%.
超声诊断在揭示胆管疾病方面具有很高的价值。准确诊断的前提是准确了解肝门部的动脉、静脉和胆管血管系统。使用实时设备，在系统检查中可以快速对这些不同系统进行鉴别诊断。当怀疑有胆结石、胆囊炎、胆总管结石和梗阻性黄疸时，应进行该项检查。文中展示了鉴别诊断标准。目前超声诊断胆囊结石的成功率为93%。在鉴别梗阻性黄疸方面，成功率约为85%。
