CAJ | 학술논문

目的探讨胆道镜与CT胆管成像联合诊治胆结石的临床价值.方法回顾性分析167例行胆道镜手术的胆管结石患者资料,根据术前检查方式分为2组:常规组行常规B超检查,CT组在常规B超榆查基础上加做腹部CT扫描胆管,三维成像.对2组患者诊断的灵敏度、特异度、定位准确性、胆道镜结石取净率及术后并发症等进行统计分析.结果 CT组行CT胆管成像后结石发现率更高,定位更准确,以胆总管段最明显(P＜0.05),结石取净率高于常规组(P＜0.05).2组术后并发症发生率差异无统计学意义(P＞0.05).结论胆道镜联合CT三维胆管成像对胆管结石的诊治具有重要的应用价值.
목적 탐토담도경여CT담관성상연합진치담결석적림상개치.방법 회고성분석167례행담도경수술적담관결석환자자료,근거술전검사방식분위2조:상규조행상규B초검사,CT조재상규B초유사기출상가주복부CT소묘담관,삼유성상.대2조환자진단적령민도、특이도、정위준학성、담도경결석취정솔급술후병발증등진행통계분석.결과 CT조행CT담관성상후결석발현솔경고,정위경준학,이담총관단최명현(P＜0.05),결석취정솔고우상규조(P＜0.05).2조술후병발증발생솔차이무통계학의의(P＞0.05).결론 담도경연합CT삼유담관성상대담관결석적진치구유중요적응용개치.
Objective To explore the application of application of cholangioseopy combined with CT cholangiography in the diagnosis and treatment of biliary calculi. Methods A retrospective analysis was made concerning the clinical data of 167 patients with biliary calculi, who received surgical operation by cholangioscopy. In accordance with the methods of examination, the patients were divided into 2 groups, the routine group and the CT group. Patients in the routine group received B-ultrasonic examination, while patients in the CT group received CT cholangiography in addition to B-ultrasonic examination preoperatively. Then,statistical analyses were made to evaluate the sensitivity, specificity, accuracy in orientation, rate of stone extraction, rate of complication following operation and a comparison was made between the two groups. Results When compared with the routine group, the CT group was shown to have a higher rate of stone detection and better accuracy in orientation, especially for the hepatocystic duct (P ＜ 0.05). Rate of stone extraction in the CT group was obviously higher than that of the routine group ( P ＜ 0.05 ). There was no statistical difference in the rate of complication between the two groups (P ＞ 0.05). Conclusions The application of cholangioscopy combined with CT cholangiography is valuable in the diagnosis and treatment of biliary calculi.