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重度进行性梗阻性黄疸6例,应用前进路PTC,分别显示梗阻段近侧的胆管支扩张,判明不同梗阻部位,并根据相应段胆道阴影的锯齿状或不规则形表面以及远端呈“鸟喙状”等所见,于术前诊断壶腹癌、胆总管远端癌及肝胆总管癌各2、3及1例;5例经手术及活检证实;1例未剖腹,于拟诊后不及一月死亡。另2例清晰显示胆总管内结石阴影,2例各示肝胆总管左肝管囊形扩张和肝内胆管节段性扩张和狭窄,各根据阴影形态等分别作出胆总管结石、肝外肝门胆道扩张症及硬化性节段性肝内胆管炎的拟诊,均经手术、活检确诊。说明PTC可用于黄疸患者的诊断。
Six cases of severe progressive obstructive jaundice, the application of advance PTC, respectively, shows the proximal bile duct dilatation of the obstruction segment, identified the different obstruction sites, and according to the corresponding segment of the biliary shadow of the serrated or irregular surface and the distal was “bird ”Patients" and other findings, preoperative diagnosis of ampullary carcinoma, distal common bile duct cancer, and common biliary carcinoma of the liver and gallbladder 2, 3 and 1 cases; 5 cases confirmed by surgery and biopsy; 1 case not laparotomy, less than after diagnosis Died in January. The other 2 cases clearly showed shadows of stones in the common bile duct, 2 cases showed cystic dilatation of the left hepatic duct of the hepatobiliary duct and segmental expansion and stenosis of the intrahepatic bile ducts, and each made a common bile duct stone and an extrahepatic porta biliary tract according to the shape of the shadow. The diagnosis of ectasia and sclerosing segmental intrahepatic cholangitis was confirmed by surgery and biopsy. Description PTC can be used for the diagnosis of jaundice.