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目的:总结并探讨超声诊断阻塞性黄疸的临床应用价值。方法:回顾性分析我院收治的98例阻塞性黄疸患者超声影像资料。结果:全部98例入选患者阻塞性黄疸发生原因为:胆管结石47例;恶性梗阻性黄疸22例(其中胰头癌5例,壶腹癌4例,原发性肝癌8例,胆管癌5例);胆管狭窄6例;胰腺炎7例,胆囊炎8例;急性化脓性胆管炎8例。患者超声诊断结果与手术病理诊断结果相比较,两者符合例数94例,总符合率95.9%。结论:超声诊断阻塞性黄疸快速,无创,鉴别诊断准确率高,可有效减少临床误、漏诊,应当作为阻塞性黄疸首选诊断方式加以推广应用。
Objective: To summarize and discuss the clinical value of ultrasonic diagnosis of obstructive jaundice. Methods: A retrospective analysis of 98 cases of obstructive jaundice in our hospital ultrasound image data. Results: The causes of obstructive jaundice in all 98 cases were: 47 cases of bile duct stones, 22 cases of malignant obstructive jaundice (5 cases of pancreatic head cancer, 4 cases of ampulla carcinoma, 8 cases of primary liver cancer and 5 cases of cholangiocarcinoma ); Bile duct stricture in 6 cases; pancreatitis in 7 cases, cholecystitis in 8 cases; acute suppurative cholangitis in 8 cases. The results of ultrasonic diagnosis of patients compared with the surgical diagnosis of pathology, both in line with the number of 94 cases, the total coincidence rate of 95.9%. Conclusion: Ultrasound diagnosis of obstructive jaundice is rapid, noninvasive and has high differential diagnostic accuracy, which can effectively reduce clinical errors and missed diagnosis, and should be used as the first choice of diagnosis of obstructive jaundice.