摘要
本文报告２４例恶性梗阻性黄疸，其中肝门区癌２例，胰头癌１１例，胆管癌７例，壶腹癌３例．原发性十二指肠腺癌１例。在术前作Ｂ超和ＰＴＣ检查，对梗阻的部位、范围、程度、性质和病因诊断等临床资料进行对照分析，Ｂ超和ＰＴＣ诊断与手术和病理学诊断的符合率分别为５４％和９１．６％。结果表明，ＰＴＣ对恶性梗阻性黄疸术前病因诊断的正确率明显高于Ｂ超，其操作方法简便安全，更适合于基层医院应用。
This paper reported 24 cases with malignant obstructive jaundice including 2 hepatic portal carcinomas,11 pancreatic carcinomas, 7 bilitiry duct carcinomas,3 ampullary carcinomas and 1 primary duodenal adenocarcinoma.Preoperative analysis of the obstructive location,limits, degree, pathognomy and pathogeny was studied by means of the ultrasound and the percutaneous trcutaneous transhepatic cholangiography(PTC).The results obtained by ultrasound and PTC were 54%(13/24) and 91%(22/24) respectively in accord with that of postoperative pathological diagnosis.This indicates that preoperative PTC diagnosis is better than the ultrasound.
出处
《肿瘤》
CAS
CSCD
北大核心
1994年第3期158-159,共2页
Tumor
关键词
胆道造影
癌
梗阻性黄疸
病因诊断
Percutaneous transhepatic cholangiography Malignant obstructive jaundice Pathogenic diagnosis
