De Hinde G, Smith P M, Craven J L
Gut. 1977 Aug;18(8):610-4. doi: 10.1136/gut.18.8.610.
Percutaneous cholangiography with the Okuda needle was performed in 42 consecutive patients with a clinical diagnosis of obstructive jaundice. Six had intrahepatic cholestasis. The technique demonstrated the biliary anatomy in 41 patients and the radiological diagnosis was confirmed by laparotomy, necropsy, or liver biopsy. There were no significant complications. Laparotomy, when indicated, was performed earlier in the course of the jaundice and it was avoided in seven patients. Precise knowledge of the site of the obstruction was of great help to the surgeon. We believe that this technique represents an important advance in the management of the jaundiced patient.
对42例临床诊断为梗阻性黄疸的患者连续进行了奥田针经皮胆管造影。其中6例为肝内胆汁淤积。该技术在41例患者中显示了胆道解剖结构，放射学诊断经剖腹手术、尸检或肝活检得以证实。无明显并发症。如有必要，剖腹手术在黄疸病程中较早进行，7例患者避免了该手术。精确了解梗阻部位对外科医生有很大帮助。我们认为该技术是黄疸患者治疗方面的一项重要进展。
