Chartrand-Lefebvre C, Dufresne M P, Lafortune M, Lapointe R, Dagenais M, Roy A
Department of Radiology, Hôpital Saint-Luc, Montreal, Quebec, Canada.
Radiology. 1994 Nov;193(2):523-6. doi: 10.1148/radiology.193.2.7972772.
To assess the usefulness of the Bismuth classification method in the preoperative localization of iatrogenic bile duct lesions with cholangiography and to correlate these cholangiographic findings with surgical findings.
The records of 33 patients who underwent open or laparoscopic cholecystectomy and who sustained injuries to the biliary tract during the course of these procedures were reviewed retrospectively. The accuracy of the cholangiographic localization of bile duct injury was assessed with the Bismuth classification method, which is based on the localization of the traumatic lesion according to the distance from the biliary confluence.
An exact correspondence between cholangiographic and surgical findings was found in 85% of the subjects. A minimal discrepancy was found in the remainder. There was no interobserver variation.
The use of the Bismuth classification method appears to be an accurate and practical method for the grading of postoperative bile duct lesions with cholangiography.
评估铋分类法在经胆管造影对医源性胆管损伤进行术前定位中的作用，并将这些胆管造影结果与手术结果相关联。
回顾性分析33例行开腹或腹腔镜胆囊切除术且在手术过程中发生胆道损伤患者的病历。采用铋分类法评估胆管损伤的胆管造影定位准确性，该方法基于根据距胆管汇合处的距离对创伤性病变进行定位。
85%的受试者胆管造影结果与手术结果完全相符。其余受试者存在极小差异。观察者间无差异。
铋分类法似乎是一种准确且实用的通过胆管造影对术后胆管损伤进行分级的方法。
