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明确肝外胆道梗阻的部位和病因具有重要的临床意义,对此近年来虽有 MRI、CT 等新的影像学检查方法,但传统的低张十二指肠造影、PTC 和 B 超等方法仍列为常规的检查技术。新近一些文献比较了 CT 与 PTC 等检查技术,指出在梗阻部位和病因诊断方面前者准确性不如后者。本文采用低张十二指肠造影、PTC 及 B 超检查方法综合诊断肝外胆道梗阻性疾病及探讨这种综合诊断的价值。资料和方法一、一般资料:分析50例经手术证实为肝外胆道梗阻的病人,年龄最大71岁,最小36岁。其中男性39例,女性11例。全部病例均进行了低张十二指肠造影、PIC 及 B 超检查。手术病理诊断胰头癌13
Clarifying the location and cause of extrahepatic biliary obstruction has important clinical significance. In this regard, although MRI, CT and other new imaging methods, but the traditional method of low-duodenal angiography, PTC and B ultrasound method is still As a regular inspection technique. Some recent literatures compare CT and PTC examination techniques, pointing out that the former is not as accurate as the latter in the diagnosis of obstructive site and etiology. In this paper, low-duodenal angiography, PTC and B-ultrasound diagnosis of extrahepatic biliary obstructive diseases and explore the value of this comprehensive diagnosis. Materials and Methods First, the general information: Analysis of 50 patients confirmed by extrahepatic biliary obstruction patients, the oldest 71 years old, minimum 36 years old. There were 39 males and 11 females. All cases were underwent low-dose duodenoscopy, PIC and B-ultrasound. Pathological diagnosis of pancreatic cancer 13