经T形管造影及胆道镜检查136例评价分析  

Analysis of 136 cases of T tube cholangiography and choledochoscpy

作　　者：刘蕾[1] 刘珂 

机构地区：[1]南阳市中心医院,473000 [2]南阳市镇平县人民医院

出　　处：《中国现代药物应用》2014年第6期31-32,共2页Chinese Journal of Modern Drug Application

摘　　要：目的对胆道术后经T形管造影检查结果评价分析。方法收集2010年7月～2012年8月间行胆道术后T形管造影147例次结果 ,与同期行纤维胆道镜检查结果进行回顾性对比分析。结果全组136例患者行T形管造影摄片检查共147例次,报告阳性病例63例次(42.9%),阴性病例84例次(57.1%)。与同期行胆道镜检查结果对比,本组X线检查假阳性2例(3.3%),假阴性19例(22.6%)。结论胆道术后经T管造影检查有较高的误诊及漏诊率,不能成为拔除T管,终止临床治疗的可靠指征。其可作为在接受胆道镜检查治疗过程中的辅助检查方法 ,两者联合应用,可获得较理想的临床治疗效果。Objective To analyze patients with biliary tract after T tube cholangiography. Methods From 2010 July to 2012 August underwent biliary postoperative T tube cholangiography in 147 cases Results Retrospectivelyanalyzed and compared for fiber biliary endoscopy Results. Results of the 136 patients underwent T tube cholangiography radiography examination of 147 cases,63 cases report positive cases （42.9%）, negative cases in 84 cases （57.1%）.Compared with the same period for the biliary endoscopy, the X-ray examination 2 false positive cases （3.3%）, 19 cases of false negative （22.6%）. Conclusion After operation of biliary tract by T tube cholangiography examination has a high rate of misdiagnosis and missed diagnosis, can not be the removal of the T tube,termination of the clinical treatment of reliable indication. It can be used as an auxiliary examination method in the acceptance of choledochoscopy in the course of treatment, combined use of clinical treatment effect, can obtain the ideal.

关 键 词：T形管造影 胆道镜 胆道手术 

分 类 号：R657.4[医药卫生—外科学]