C形臂术中胆管造影对梗阻性黄疸的临床价值评价

The clincal value of intraoperative cholangiography in obstuctive jaunclice under c-arm

目的 :探讨C形臂术中胆管造影对梗阻性黄疸的临床价值。方法 :35例临床怀疑梗阻性黄疸患者C形臂术中胆管造影 ,从多角度摄影并动态图像采集。结果 :35例探查前胆管造影 ,图像清楚显示了梗阻部位 ,特异性为 10 0 % ;其中34例明确了梗阻原因 ,准确率为 97.14 %。探查后胆管造影 7例患者胆总管仍梗阻。结论 :C形臂术中胆管造影弥补了传统造影的不足 ,它不但清晰显示了梗阻部位、范围 ,明确了梗阻原因 ,而且及时为临床手术方案选择和术后疗效判定提供帮助。因此 ,C形臂术中胆管造影是一种有效的影像学检查手段。

Objective:To study the diagnostic value of intraoperative cholangiography (IOCG) under c-arm in obstructive jaunclice.Methods:IOCG was perfomed in 35 cases suspected by chinician.Radiographies were obtained in multiangle and dynamically to display each branche of puncreatic dults.Results:Images of 35 cases all defined the choky site,the specifillity was 100%;the stocky cause of 34 cases was demonstrated in preoperative cholangiography,the accuracy was 97.14%.7 cases remained obslruent after exploration. Conclusion:IOCG under c-arm is superior to traditional cholangiography.It depicts fairly well the site and extent of narrowing.also it gives rational therapeutic before treatment.So it is an effective diagnostic technique in obstuctive jaundice.