Thelen M, Paquet K J, Schulz D, Herpertz C
Rontgenblatter. 1977 Oct;30(10):508-19.
Via the jugular approach to the liver diagnosis of the liver could be extended by transjugular cholangiography, liver biopsy and retrograde portography. Transjugular cholangiography makes possible an antegrade picture of the bile ducts - particularly when conventional techniques or retrograde measures fail. 85% of blocked bile ducts were recognized. Transjugular liver biopsy complements cholangiography. Tissue can be removed from right and left lobes of the liver. Retrograde portography makes possible assessment of hemodynamics of the liver in portal hypertension before and after shunt operations. Isolated pictures of portal circulation in the right or left lobes permits clear allocation of tumorous or parasitical disease in the respective parts of the liver. This is of special importance for surgery of the liver, a precondition of hemihepatectomy.
通过经颈静脉途径对肝脏进行诊断,可借助经颈静脉胆管造影、肝活检和逆行门静脉造影来扩展诊断手段。经颈静脉胆管造影能够获得胆管的顺行图像,尤其是在传统技术或逆行检查方法失败时。85%的阻塞性胆管能够被识别出来。经颈静脉肝活检可补充胆管造影。能够从肝脏的左右叶获取组织。逆行门静脉造影可以在分流手术前后评估门静脉高压时肝脏的血流动力学情况。对右叶或左叶门静脉循环的单独成像能够明确肝脏各部位肿瘤性或寄生性疾病的分布情况。这对于肝脏手术,即半肝切除术的前提条件,具有特别重要的意义。