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梗阻性黄疸的特殊检查,临床上以经皮肝穿胆道造影检查(PTC),经内镜逆行胰胆管造影检查(ERCP)准确率较高,但PTC、ERCP均为有创检查,会出一些严重的并发症,且操作上有一定的难度.笔者认为对B超检查显示胆囊内结石合并有梗阻性黄胆的患者,应选择术中胆道造影检查,有助于胆总管探查.1 对象与方法本组男性6例,女性4例,年龄22～65岁,平均44.1岁,多数患者术前反复出现不同程度的梗阻性黄疸和胆总管炎病史,B超检查胆囊内均有结石,其中8例显示胆总管扩张,2例胆总管无明显扩张,术中进行胆道造影检查.
Obstructive jaundice special inspection, clinical percutaneous transhepatic cholangiography (PTC), endoscopic retrograde cholangiopancreatography (ERCP) accuracy, but PTC, ERCP are invasive examination, there will be some Serious complications, and the operation has a certain degree of difficulty.I believe that the B-ultrasound showed gallbladder stones with obstructive jaundice patients should choose intraoperative cholangiography to help explore the common bile duct .1 object and Methods The group of 6 males and 4 females, aged 22 to 65 years old, average 44.1 years old, most patients with varying degrees of obstructive jaundice and common bile duct inflammation before surgery, B-check gallbladder have stones, of which 8 Cases showed common bile duct dilatation, 2 cases of no significant expansion of the common bile duct, intraoperative cholangiography.