摘要
本文报道了经皮肝穿刺胆道造影142例,检查成功率98％。128例经手术和病理证实,诊断正确率为94.5％。作者提出一新的X线征象;胆管残根征。胆石症、胆道恶性疾病胆管典型残根征出现率分别为37.5％和7.1％,两者差异极为显著(p<0.01)。本文还对PTC和B超对胆道疾病的诊断进行了比较分析。
One hundred and forty two cases of percutaneous transhepatic cholangiogra- phy (PTC) with fine needle were analysed. The success rate of PTD was 93%. 128 PTC were confirmed by operations and histopathologic examinations and the diagnostic accuracy was 94. 5%. The roentgen signs of various diseases were described. A new roentgen sign——residual root slgn of bile duct was raised and discussed. The appearance rate of the typical residual root sign of bile duet in cholelithiasis and malignant disease of bile duet were 37.5% and 7.1% respectively. The difference was significant in both groups. The diagnosis rate of PTC on biliary obstruction was compared with of B-mode ultrasonography. The causes of the misdiagnosis and missed diagnosis in PTC were discussed.
出处
《贵阳医学院学报》
CAS
1989年第4期291-295,共5页
Journal of Guiyang Medical College
关键词
胆道造影术
胆管残根征
超声学
cholangiography
residual root sign of bile duct
ultrasonics
