In recent years, percutaneous transhepatic chol a ngio graphy(P T C) using fine needle has become widely employed as the procedure of choice for direct opacification of the biliary trees because of its high success rate , easy performance and relative low complication rate. Authors ' present the clinical and PTC findings of experie nced cases during last four years , from May 1976 t。 June 1980, at the Department of Radiology , Korea University Hospital. We tried to study of PTC in 44 cases, 32

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... ales and 12 females , and succeeded in visualization of bile ducts in 41 cases , but the other three cases were failed to visualize the bile ducts . Final confirmative diagnosís, was achieved in 29 cases by operation , laparoscopy and other clinical methods. The PTC diagnosis was correct in 24 of 29 cases, and the others were inco rrect. The 29 final diagnosis was including 1 3 cases of biliary stones, 6 cases of biliary cancer, 3 cases of pancreatic cancer, 3 cases of clonorchiasis, one case of CBD ascariasis and 3 cases of others. Incorrect PTC diagnosis was made in fi ve cases. They were one case of nonvisualized intrahepatic stones, 。 ne case of hepatoma PTC diagnosed as cholangiocarcinoma, one case of pancreatic cancer diagnosed as cholangiocarcinoma, one case of clonorchiasis diagnosed as biliary stones and one case of no rmal CBD which was diagnosed as distal CBD cancer. And we experienced one case of bile peritonitis as complication , who was 35 year, old female patient with multiple CBD stones, and aspirated about 500ml of bile stained ascites during operation. 굉훌겸둥은 없近 약 4 年뭔합행大랜校 쩔科大댄 附屬病 였마. 穿刺部흘 防布 한 後 愚협의 짧位를變化시키면서 院에서 經驗한 經皮經 m업管造影術 44 例 블 分析檢討한 閒銷部를 中心j즈로 透視最影하였마. 所要빠間은 대개 結핑와 갓敗한 iJI J , 않끓{列 및 봐發1IE例를 中心으 로 文 2 0 分 내지 40 分이었으냐 경우에 따라서는 한時間以上 짧考察파 아울러 報告하는 바이 아 뿔延펀 경 우도 있 었 마 . 關管造影에 失敗 한 해 에 는 針 을 完 숲除去後 마시 穿刺하였고 8 回以上 穿刺는 하지 II. 對象 및 方 法 않았으며 ,댄、者의 狀 態가 不良하여 4 回 穿刺後 中斷한 따 씨