Xav Paub Txog Cholangiography?

Cholangiography feem ntau yog siv ntau txoj hauv kev, xws li ERCP los ntawm ampulla, PDCD los ntawm kev sib tsoo lub raj, T raj xa dej los ntawm T raj los txhaj tshuaj sib txawv rau hauv cov kav dej. Tom qab tus neeg saib xyuas qhov sib txawv tau txhaj rau ntawm X-ray zaj duab xis, tus neeg sawv cev sib txawv yuav tsim, sau tag nrho cov kab mob hauv cov kab mob, thiab cov kab mob biliary yuav txhim kho.

Nyob rau lub sijhawm no, nws tuaj yeem txiav txim siab seb puas muaj cov kab mob sib xws hauv cov kab mob hauv cov kua tsib, txhawm rau txiav txim siab seb puas muaj cov kab mob sib xws, xws li cov pob zeb hauv cov ducts, cov kab mob hauv cov kav dej, cov kab mob ntawm cov kab mob tsis zoo, thiab lwm yam, thiab txiav txim siab ntxiv. seb puas muaj cov kab mob sib xws. Nws tseem tuaj yeem txiav txim siab ntxiv seb qhov ampullary qhib ntawm qhov kawg ntawm cov kab mob hauv cov kab mob uas muaj cov kab mob stenosis thiab kev cuam tshuam, xws li seb tus neeg sawv cev ntawm cov biliary contrast tuaj yeem dhau mus rau duodenum. Txhawm rau txiav txim siab seb lub ducts hauv qab yog qhib.

Muaj ntau txoj hauv kev ntawm cholangiography, feem ntau muab faib ua excretory cholangiography thiab ncaj qha cholangiography ob pawg. Excretory cholangiography: Cholangiography yog kev siv lub qhov ncauj lossis cov hlab ntsha sib txawv (siv tus neeg sawv cev sib txawv rau lub siab lub hlwb coj mus rau hauv txoj cai ntawm biliary tract). Txoj kev ntsuas no yog tsim rau cov neeg mob uas muaj lub cev ua haujlwm zoo thiab tsis muaj teeb meem. Cov kev siv feem ntau muaj xws li qhov ncauj cholecystography, intravenous cholangiography (paub venography thiab intravenous venography), thiab ua ke qhov ncauj thiab intravenous cholangiography. Direct cholangiography: Tus neeg sawv cev zoo sib xws yog txhaj ncaj qha rau hauv lub plab biliary los ntawm ntau txoj hauv kev rau kev yees duab. Cov kev siv feem ntau hauv kev kho mob yog: percutaneous cholangiography, retrograde cholangiography nyob rau hauv endoscope, laparoscopic cholangiography, phais cholangiography (intraoperative cholangiography, postoperative cholangiography), thiab lwm yam. Qhov zoo ntawm hom angiography no yog qhov sib txawv ntawm qhov chaw ncaj qha rau ntawm qhov chaw. , thiab cov nyhuv angiography yog qhov zoo tagnrho. Nws tuaj yeem ua kom pom tseeb cov kev taw qhia ntawm sab hauv thiab sab nraud daim siab biliary ib ntsuj av, txawv txav los yog nqaim txoj kab uas hla, occlusions, biliary tract qog, thiab gallstones. Endoscope tuaj yeem siv rau kev soj ntsuam ncaj qha thiab rov qab kho mob angiography, tuaj yeem pom tseeb nyob rau thaj tsam ntawm lub ampulla, tab sis kuj ncaj qha cov kua tsib los yog duodenum biopsy lesions.