CAJ | 학술논문

目的探讨螺旋CT诊断梗阻性黄疸的临床价值。方法选取自2008年12月-2012年1月收治的30例经过手术病理证实的梗阻性黄疸患者为临床研究对象。对30例梗阻性黄疸患者分别进行螺旋CT诊断及US诊断。比较螺旋CT诊断、US诊断对梗阻平面的诊断正确率、对梗阻病因的诊断正确率和对梗阻性黄疸的漏诊及误诊率上的差别。结果螺旋CT在对梗阻平面及梗阻病因上的诊断正确率要明显高于US诊断，且CT诊断梗阻性黄疸时的漏诊、误诊率明显低于US诊断,P<0.05，差异具有统计学意义。结论螺旋CT对梗阻性黄疸的诊断价值高于US的诊断价值，值得在临床推广。
목적탐토라선CT진단경조성황달적림상개치。방법선취자2008년12월-2012년1월수치적30례경과수술병리증실적경조성황달환자위림상연구대상。대30례경조성황달환자분별진행라선CT진단급US진단。비교라선CT진단、US진단대경조평면적진단정학솔、대경조병인적진단정학솔화대경조성황달적루진급오진솔상적차별。결과라선CT재대경조평면급경조병인상적진단정학솔요명현고우US진단，차CT진단경조성황달시적루진、오진솔명현저우US진단,P<0.05，차이구유통계학의의。결론라선CT대경조성황달적진단개치고우US적진단개치，치득재림상추엄。
Objective To explore application of spiral CT diagnosis of obstructive jaundice clinical value analysis. Methods From December 2008 to January 2012 were proved by operational pathology after surgery in patients with obstructive jaundice 30 cases, as a clinical research object. 30 cases of patients with obstructive jaundice were spiral CT diagnosis and US diagnosis. Comparative spiral CT diagnosis, US diagnosis of obstruction of the plane, the diagnostic accuracy of obstruction etiology diagnosis accuracy and obstructive jaundice of misdiagnosis and missed diagnosis rate difference. Results Spiral CT in the obstruction plane and obstruction etiology of the diagnostic accuracy obviously higher than to the US diagnosis, and CT diagnosis of obstructive jaundice of missed diagnosis and misdiagnosis rate is obviously lower than the US diagnosis, P<0.05, with statistical signiifcance. Conclusion Spiral CT in the diagnosis of obstructive jaundice is worth more than US diagnosis value, has the vital signiifcance, it is worth popularization in clinical.