Taylor K J, Rosenfield A T
Arch Surg. 1977 Jul;112(7):820-5. doi: 10.1001/archsurg.1977.01370070034004.
One hundred fifty patients with cholestatic jaundice were studied prospectively by grey-scale ultrasonography. All patients had a diagnosis established by subsequent biopsy, autopsy, or surgery. Using the presence or absence of a dilated biliary tree as the criterion, the intrahepatic or extrahepatic nature of the jaundice was correctly differentiated in 145 of 150 patients, an accuracy of 97%. All 64 of the patients with intrahepatic jaundice were correctly identified. Five of the 86 remaining patients, each of whom had gallstones, were misdiagnosed. In eighty-two patients (54.7%), the specific etiology was diagnosed. Ultrasound is an accurate method for the evaluation of jaundice and would appear to have a definite value as a screening procedure before proceeding to more invasive studies.
对150例胆汁淤积性黄疸患者进行了灰阶超声检查的前瞻性研究。所有患者均通过后续活检、尸检或手术确诊。以胆管树是否扩张为标准，150例患者中有145例黄疸的肝内或肝外性质得到正确区分，准确率为97%。所有64例肝内黄疸患者均被正确识别。其余86例患有胆结石的患者中有5例被误诊。在82例患者（54.7%）中诊断出了具体病因。超声是评估黄疸的一种准确方法，在进行更具侵入性的检查之前，作为一种筛查程序似乎具有明确的价值。
