CAJ | 학술논문

目的：探讨胆总管下段结石腹部超声检查的技巧应用。方法抽取78例胆总管下段结石患者，对其进行术前腹部超声检查，探讨各种超声检查技巧在诊断胆总管下段结石中的应用价值。结果78例患者经腹部超声检查发现胆总管下段结石者76例，漏诊2例Vater壶腹小结石（经超声造影检查发现），准确率为97.4%。结论腹部超声检查具有操作简便、快速、方便、实用、无创、安全、可重复等优势；操作者充分做好检查前各项准备，熟练掌握胆道解剖知识和在检查过程中适时改变患者体位等操作技巧，可显著提高腹部超声对胆总管下段结石的检出率。
목적：탐토담총관하단결석복부초성검사적기교응용。방법추취78례담총관하단결석환자，대기진행술전복부초성검사，탐토각충초성검사기교재진단담총관하단결석중적응용개치。결과78례환자경복부초성검사발현담총관하단결석자76례，루진2례Vater호복소결석（경초성조영검사발현），준학솔위97.4%。결론복부초성검사구유조작간편、쾌속、방편、실용、무창、안전、가중복등우세；조작자충분주호검사전각항준비，숙련장악담도해부지식화재검사과정중괄시개변환자체위등조작기교，가현저제고복부초성대담총관하단결석적검출솔。
Objective:To investigate the techniques and applications of abdominal ultrasonography for commonbile duct stones.Methods:78 patients with common bile duct stones were given preoperative abdominal ultrasound examinations,and the inspection results had been sufficiently analyzed for evaluating the value of various ultrasonography techniques in the diagnosis of common bile duct stones.Results:Among the 78 patients,76 cases were diagnosed of suffering from common bile duct stones by abdominal ultrasound examination,two cases of Vater ampul a smal stones (found via ultrasound imaging) were missed,and the diagnostic accuracy was 97.4%.Conclusions: Abdominal ultrasound is a simple, fast, convenient and practical, non-invasive, safe, repeatable means of inspection;It can significantly improve the detection rate of abdominal ultrasound for common bile duct stones that the perators ful y prepare al the preparatory work before the inspection,master biliary anatomy knowledge expertly and master skil s such as timely changing the patient's position in the inspection process.