CAJ | 학술논문

目的：通过对超声诊断的360例梗阻性黄疸的回顾性分析，探讨肝外梗阻性声像图特征、技术操作及误诊原因，改善诊断技术水平，提高超声对肝外梗阻性黄疸定位、定性诊断的准确率。方法回顾性分析10年来经手术病理确诊的360例肝外梗阻性黄疸病例的病因、梗阻部位及超声声像图特征。其中包括：胆总管结石205例，胆管癌30例，胰头癌44例，胆囊癌27例，壶腹癌24例，胆管炎24例，胆道蛔虫6例。结果超声对肝外梗阻性黄疸定位诊断准确率为93.6％、定性诊断准确率87.5％。结论超声检查经济快捷、安全无创、无禁忌及并发症且可实时动态反复检查，对肝外梗阻性黄疸诊断具有很高的价值，是诊断肝外梗阻性黄疸的首选方法。
목적：통과대초성진단적360례경조성황달적회고성분석，탐토간외경조성성상도특정、기술조작급오진원인，개선진단기술수평，제고초성대간외경조성황달정위、정성진단적준학솔。방법회고성분석10년래경수술병리학진적360례간외경조성황달병례적병인、경조부위급초성성상도특정。기중포괄：담총관결석205례，담관암30례，이두암44례，담낭암27례，호복암24례，담관염24례，담도회충6례。결과초성대간외경조성황달정위진단준학솔위93.6％、정성진단준학솔87.5％。결론초성검사경제쾌첩、안전무창、무금기급병발증차가실시동태반복검사，대간외경조성황달진단구유흔고적개치，시진단간외경조성황달적수선방법。
Objective To retrospectively analyze the ultrasonic diagnosis of extrahepatic obstructive jaundice , discuss their ultrasonographic characteristics , technical procedures and misdiagnostic reasons and improve the diagnostic proficiency and qualitative accuracy of extrahepatic obstructive jaundice .Methods Retrospective analyses were conducted for the causes , obstructive sites and ultrasonic characteristics of 360 cases of extrahepatic obstructive jaundice confirmed by surgical pathology during 10 years, including choledocholithiasis ( n=205 ) , cholangiocarcinoma ( n =30 ) , pancreatic head carcinoma ( n=44 ) , gall bladder (n=27), ampullary carcinoma (n=24), cholangitis (n=24) and biliary tract roundworm (n=6).Results For locating extrahepatic obsrtructive jaundice , the accuracy of ultrasonic diagnosis was 93.6% and that of qualitative diagnosis 87.5%.Conclusions As an economic, rapid, safe and noninvasive tool , ultrasound is valuable in the diagnosis of extrahepatic obstructive jaundice.It may be applied frequently in non-contraindicated and complication-free patients.However , the diagnostic accuracy is closely correlated with inspector experiences , operative techniques and patient conditions .