【摘要】 <正> 近几年来,用于诊断胆道疾病的新技术与新仪器逐渐增多。我所1980年6月～1982年8月,对220例梗阻性黄疸进行联合检查,报告如下。临床资料一、性别与年龄:男137人、女83人。年更多还原

【Abstract】 Different types of obstructive jaundice were diagnosed hy combined methods ofexamination on 220 patients in our inatitute during June,1980 to August,1982.We use B-US first for all kinds of obstructive jaundice.If there is dilatation ofbile duct,we select PTC or PTCD first.If there is no dilatation of bile duct we selectERCP By these combined methods of examination,we found 88 cases of tumor.76 cases of cholelithiasis 20 cases of narrowing of bile duct,6 cases of cystic dilata-tion of common bile duct,10 cases of ascariasis of bile duct and 20 cases of normalbile duct.Bile duct and pancreas can be clearly visualized by B-US,but it is limited by theso called“died area”.PTC can determine the position,degree and the cause of the billary obstruction with an accuracy of 95.6% but it is invasive,PTCD is used prima-rily for alleviating jaundice and pressure and for further diagnosis,ERCP can takepicture of the bile duct and the pancreatic duct and observe the duodenal mucosa andVater’s ampulla with biopsy but the rate of success was lower than PTC.Thus,by using the selected combined methods examination to diagnose differentkinds of obstructive jaundice,we made the pre-operative etiological diagnosis reachan accuracy of 96%.更多还原