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近20余年来,肝胆胰疾病的影像诊断技术有了很大的进展,如超声显像、逆行胰胆造影、经皮肝穿胆道造影、选择性动脉造影、CT扫描,核磁共振、核素显像等。作为一个临床外科医师首先应当了解这些检查方法的特点,善于选择应用;其次是能正确的读片,而不是单凭他人的报告,并且要在临床症状的基础上去配合传统的各种检查方法。这样才能正确地应用和判断这些检查的结果,提高肝胆胰疾病的诊断正确率。本文讨论的目的只是从一个临床医师的角度应如何选择应用这些检查,以及如何配合应用以提高诊断正确率,
In the recent 20 years, imaging diagnosis of hepatobiliary and pancreatic diseases has made great progress, such as ultrasound imaging, retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, selective arteriography, CT scan, nuclear magnetic resonance, radionuclide Like. As a clinical surgeon should first understand the characteristics of these inspection methods, good choice of application; followed by the right to read the film, rather than others alone, and based on clinical symptoms to go with the traditional methods of inspection. In order to correctly apply and determine the results of these tests to improve the diagnostic accuracy of hepatobiliary and pancreatic diseases. This article discusses the purpose of just how to choose from a clinician’s perspective of these tests, and how to cooperate to improve the diagnostic accuracy,