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目的：使用剑突下经皮肝穿刺左肝管胆系造影法的临床价值。方法：B超导向，在剑突下经皮肝穿刺，进针至选定深度，边抽吸边退针至抽得胆汁，电视下注入50％胆影葡胺，使左右肝管显影。结果：26例阻塞性外科黄疸病人X线分析表明：肛门部阻塞大部分为肝门胆管癌，且转移癌较原发癌多。结论：剑突下经皮肝穿刺左肝管胆系造影法有一些优点，值得推广应用。
Objective: To evaluate the clinical value of percutaneous transhepatic percutaneous transhepatic cholangiography of the xiphoid. Methods: B-guided, percutaneous hepatic puncture in the xiphoid process, the needle to the selected depth, while suction side of the needle back to pumping bile, 50% under the TV bolus meglumine, the left and right hepatic duct development. Results: X-ray analysis of 26 patients with obstructive jaundice showed that most of the anus obstruction was hilar cholangiocarcinoma, and metastatic carcinoma more than the primary carcinoma. Conclusion: Percutaneous transhepatic puncture of the left hepatic duct gallbladder under the xiphoid has some advantages, which are worthy of popularization and application.