Vlasov P V, Kotliarov P M
Vestn Rentgenol Radiol. 1996 May-Jun(3):33-46.
The paper deals with combined diagnosis of hepatic and biliary diseases, involving a wide range of nosological entities. It shows the potentialities of currently available diagnostic techniques for the most common diseases. The authors examined 175 patients with acute and chronic hepatitis, 120 with hepatic cirrhosis, 486 with cystic changes, 324 with benign tumors, 292 with malignant tumors, 21 with hepatic abscess, 527 with cholecystitis, 566 with cholelithiasis. Cancer of the gall-bladder was in 10 patients, its polyps were in 18, cancers of the common bile duct and bile papilla were in 6 and 4 patients, respectively. A complex of the used diagnostic techniques involved ultrasonic scanning, X-ray computed tomography, hepatobiliary scintigraphy, angiography, retrograde cholangiopancreatography, transhepatic cholangiography, etc. The authors have demonstrated that each method used is highly diagnostically effective. At the same time they have shown the limits of each technique in the diagnosis of certain diseases. The authors' data suggest that the total efficiency of the applied complex of diagnostic means approaches 100%.
本文论述了肝胆疾病的联合诊断,涉及多种疾病实体。它展示了当前可用诊断技术对最常见疾病的诊断潜力。作者检查了175例急慢性肝炎患者、120例肝硬化患者、486例囊性病变患者、324例良性肿瘤患者、292例恶性肿瘤患者、21例肝脓肿患者、527例胆囊炎患者、566例胆石症患者。胆囊癌患者10例,胆囊息肉患者18例,胆总管癌和胆管乳头癌患者分别为6例和4例。所采用的诊断技术组合包括超声扫描、X线计算机断层扫描、肝胆闪烁显像、血管造影、逆行胰胆管造影、经皮肝穿刺胆管造影等。作者证明了所使用的每种方法都具有很高的诊断效率。同时,他们也指出了每种技术在某些疾病诊断中的局限性。作者的数据表明,所应用的诊断手段组合的总效率接近100%。