Burcharth F, Christiansen L, Efsen F, Nielbo N, Stage P
Am J Surg. 1977 May;133(5):559-61. doi: 10.1016/0002-9610(77)90007-1.
Percutaneous transhepatic cholangiography (PTC) was carried out in 160 patients with jaundice in whom the diagnosis could not be established by means of conventional methods of investigation. In PTC, selective catheterization of the common bile duct was employed and cholangiograms of high quality were obtained. In patients with obstruction of the biliary passages, the catheter was left indwelling centrally in the biliary passages for external bile drainage. The investigation, thus, did not necessitate immediate operation in these patients. PTC was successful in 113 of the 115 patients with obstructive jaundice. In forty-five patients the suspicion of obstruction could be discharged. Normal biliary passages were demonstrated in twenty-six patients. In nineteen patients it was impossible to cannulate the biliary tree and this was tantamount to nonobstructive jaundice. Complications occurred in six patients, but were not exclusively due to PTC. PTC provides a possibility for differentiation between obstructive and nonobstructive jaundice and thereby laparotomy can frequently be avoided. The incidence of complications may be maintained at an acceptable, low level provided the technic is meticulously observed.
对160例黄疸患者进行了经皮肝穿刺胆管造影（PTC），这些患者无法通过传统检查方法确诊。在PTC检查中，采用了选择性胆管插管，并获得了高质量的胆管造影照片。对于胆道梗阻患者，将导管留置在胆道中央进行外引流。因此，这些患者无需立即手术。115例梗阻性黄疸患者中有113例PTC检查成功。45例患者排除了梗阻怀疑。26例患者显示胆道正常。19例患者无法对胆管树进行插管，这等同于非梗阻性黄疸。6例患者出现并发症，但并非完全由PTC引起。PTC为区分梗阻性和非梗阻性黄疸提供了可能，从而常常可以避免剖腹手术。只要严格遵守技术操作，并发症的发生率可维持在可接受的低水平。
