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作者回顾性评价了23例确诊为急性上行性胆管炎病人的CT所见。男性15例,女性8例,年龄23～91岁。12例手术证实诊断,8例经皮肝穿胆管造影(PTC)确诊,3例经内窥镜逆行性胆胰管造影(ERCP)确诊。CT检查的作用为:①证实临床诊断。②探明胆管梗阻的部位。③确定胆管梗阻的病因。④评价肝内疾病的严重程度和范围。由两位有经验的放射学医师对腹部CT检查进行会诊。结果
The authors retrospectively evaluated the findings of CT on 23 patients diagnosed as having acute cholangitis. 15 males and 8 females, aged 23 to 91 years old. Twelve cases were confirmed by surgery, 8 cases were diagnosed by percutaneous transhepatic cholangiography (PTC), and 3 cases were diagnosed by endoscopic retrograde cholangiopancreatography (ERCP). The role of CT examination: ① confirm the clinical diagnosis. ② proven bile duct obstruction site. ③ determine the cause of biliary obstruction. ④ evaluation of the severity and extent of liver disease. Two experienced radiologists consulted on abdominal CT. result