剑突下经皮肝穿刺左肝管胆系造影的临床应用(附阻塞性外科黄疸26例X线分析)  

Clinical application of cholangiography by subxiphoid puncture of the left hepatic duct (Analysis 26 cases with surgical obstructive jaundice)

作　　者：戴敦巍[1] 吕江林[1] 曹国庆[1] 

机构地区：[1]武汉市第六医院放射科,430015

出　　处：《放射学实践》1999年第3期147-149,共3页Radiologic Practice

摘　　要：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 assess the value of suhxiphoid puture of the left hepatic duct in cholangiogrphic examination. Methods:Subxiphoid puncture of left hepatic duct under B-mode sonognphic guidance was perfbmed in 29 Patients. Data of 26 Paients were analyzed in this paper. Results: Analysis of cholangiographic findiop in 26 cases with surgical obstructiove jaundice indicated that the obstructions in hepeic portal region were mosily caused by carcinomas, metastaic tumors were more than primary one. Conclusions: The cholangiographic methed by sub-xiphoid punture of the left hepaic duct has cedrin merits and is worthwhile to be recommnded.

关 键 词：阻塞性黄疸 诊断 肝管胆系造影 

分 类 号：R575.04[医药卫生—消化系统] R816.5[医药卫生—内科学]