摘要
目的:分析超声诊断胆总管结石的应用价值。方法:选择86例胆总管结石患者,给予超声检查,与逆行胰胆管造影(ERCP)取石结果进行对比分析。结果:86例胆总管结石患者均给予ERCP取石证实,梗阻性结石68例(79.1%),非梗阻性结石18例(20.9%),术前经超声证实为结石患者81例,检出率为94.2%,漏诊5例,漏诊率为5.8%。定位诊断:超声检查结果胆总管上段结石患者60例,胰腺段16例,壶腹段5例,ERCP证实胆总管上段结石患者57例,胰腺段20例,壶腹段9例。超声定位诊断与ERCP检查符合75例,符合率为87.2%。结论:超声检查对胆总管结石定位诊断具有较高的准确率,临床应用价值高,可作为进行ERCP取石术前常规检查。
Objective：To discuss the clinical value of ultrasound in the diagnosis of CBDS. Methods：172 patients with CBDS were detected by ultrasound,and contrasted the results with ERCP. Results：172 patients were confirmed by ERCP,and there were 137 patients with obstructive stones（79.7%）,35 patients with non-obstructive stones（20.3%）,and 162 patients were confirmed by ultrasound before ERCP,the detection rate of ultrasound was 94.2%, 10 patients were missed diagnosis, the rate of missed diagnosis was 5.8%.Topical diagnosis：120 patients with upper segment CBDS,32 with pancreas segment CBDS,and 10 with ampullary segment CBDS were detected by ultrasound;115 with upper segment CBDS,40 with pancreas segment CBDS, and 17 with ampullary segment CBDS were detected by ERCP.The ultrasound diagnostic conform rate was 86.7%. Conclusion：Ultrasound has high accuracy in the positioning diagnosis of CBDS, with high clinical value, it can be used as a routine examination before ERCP lithotomy.
出处
《中国医药导刊》
2013年第9期1440-1440,1442,共2页
Chinese Journal of Medicinal Guide
