摘要
目的 改变传统的胆道造影方法 ,采用滴注造影剂方法进行胆道造影 ,以达到胆道最佳造影。方法 常规消毒T管 ,用 9号Y形穿刺针穿刺入T管 ,缓慢滴入 3 8%泛影葡胺以显影胆道。结果 79例胆道显影良好 ,其中 3例提示总胆管下端残余结石 ,拔T管后经窦道胆镜下取石成功 ,2例为气体所致假结石阴影 ,经生理盐水冲洗后再造影即消失。结论 低流量滴注造影剂能较理想显影胆道 ,并容易发现结石 ,而且方法简单 ,对病人刺激轻微 。
Objective To get the best cholangiography result in 79 patients by dripping contrast medium slow instead of traditional cholangiography.Methods After T tube was disinfected,size 9 'Y' needle was punctured into T tube,and 38% meglucamine diatrizoate was dripped slowly into it.Results The biliary tracts of Seventy nine patients were well developed,of which three showed residual calculi in distal common bile duct (CBD) and the calculi were fetched out under choloscope after the T tube was pulled out,two others showed shadows of pseudostones and they disappeared after being rinsed with NS.Conclusion Dripping contrast medium slow is an ideal method to develop biliary tract clearly,and the calculi are easy to be found,furthermore,it is simple and adds little stimulus to the patients.
出处
《河北医药》
CAS
2001年第11期820-821,共2页
Hebei Medical Journal
