CAJ | 학술논문

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。
목적：분석초성진단담총관결석적응용개치。방법：선택86례담총관결석환자,급여초성검사,여역행이담관조영(ERCP)취석결과진행대비분석。결과：86례담총관결석환자균급여ERCP취석증실,경조성결석68례(79.1%),비경조성결석18례(20.9%),술전경초성증실위결석환자81례,검출솔위94.2%,루진5례,루진솔위5.8%。정위진단：초성검사결과담총관상단결석환자60례,이선단16례,호복단5례,ERCP증실담총관상단결석환자57례,이선단20례,호복단9례。초성정위진단여ERCP검사부합75례,부합솔위87.2%。결론：초성검사대담총관결석정위진단구유교고적준학솔,림상응용개치고,가작위진행ERCP취석술전상규검사。
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.