经皮肝穿刺胆道造影在老年梗阻性黄疸病因诊断中的应用  

PTC used for diagnosing the causes of obstructive jaundice in elders

作　　者：杨顺春 顾海燕[2] 徐骁[2] 陈克敏[2] 

机构地区：[1]上海南汇县周浦医院放射科,201318 [2]上海第二医科大学附属仁济医院放射科

出　　处：《介入放射学杂志》2000年第2期93-95,共3页Journal of Interventional Radiology

摘　　要：目的　探讨经皮肝穿刺胆道造影 (PTC)在老年人梗阻性黄疸病因诊断的价值。方法　回顾性分析 45例老年人梗阻性黄疸的PTC ,其中 37例有完整的手术和病理检查资料。结果　PTC穿刺成功率高 ,达 97.3% (36 / 37) ,且相当安全。PTC对梗阻性黄疸中非肿瘤性病因和肿瘤性病因诊断符合率分别为 93.3% (14/ 15 )和 86 .4% (19/ 2 2 ) ,总的诊断符合率为 89.2 % (33/ 37) ,而B超和CT的诊断符合率分别为 44 % (11/ 2 5 )和 6 5 % (13/ 2 0 )。结论　PTC对梗阻性黄疸的病因诊断价值高于B超和CT 。Objective To assess the value of PTC in diagnosing the causes of obstructive jaundice in elders.Methods The signs of PTC in 45 obstructive jaundice cases were reviewed and analysed. 37 cases of them were proven by surgical and pathological diagnosis. Results PTC had a high successful rate in punctrue (97.3%, 36/37) and was safe considerably. The diagnostic accuracies of PTC in distinguishing the causes of nontumorous from tumorous lesions were 93.3% and 86.4%, respectively. Conclusions PTC is superior to US and CT, as a valuable method at present in diagnosing the causes of obstructive jaundice in the elders.

关 键 词：经皮 肝穿刺胆道造影 梗阻性黄疸 诊断 

分 类 号：R814.43[医药卫生—影像医学与核医学]