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多数黄疸病人依赖临床和检验足以区分胆道梗阻性和肝细胞性原因,仅15%病人需进一步检查。即使已确立梗阻性黄疸的诊断,尚需其它检查以确定其程度、位置和性质,藉此计划手术。本文就各种检查方法之价值进行分析。材料:本文分析加州大学医学中心自1976至1980收治的肝外胆道梗阻其中的178例,均经手术或肝穿刺胆道造影术,病理证实。梗阻原因计为胆总管结石43例(24%),胰腺癌43例(24%),胆管癌35例(20%),良性胆道狭窄33例(19%),慢性胰腺炎13例(7%),其它疾病11例(6%)。结果:
Most jaundice patients rely on clinical and test sufficient to distinguish between biliary obstruction and hepatocellular carcinoma, only 15% of patients need further examination. Even with the diagnosis of obstructive jaundice, other tests are still needed to determine the extent, location, and nature of the disease and to plan the procedure. This article examines the value of various inspection methods. MATERIALS: This article analyzes 178 cases of extrahepatic biliary obstruction admitted to the University of California Medical Center from 1976 to 1980 and was confirmed by surgery or liver biopsy. The causes of obstruction included 43 cases (24%) of choledocholithiasis, 43 cases (24%) of pancreatic cancer, 35 cases (20%) of cholangiocarcinoma, 33 cases (19%) of benign biliary stricture, 13 cases of chronic pancreatitis (7% ), Other diseases in 11 cases (6%). result: