中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
3期
373-374
,共2页
超声,多普勒,彩色%胆管造影术%胆总管结石%诊断
超聲,多普勒,綵色%膽管造影術%膽總管結石%診斷
초성,다보륵,채색%담관조영술%담총관결석%진단
Ultrasonography,Doppler,color%Cholangiography%Choledocholithiasis%Diagnosis
目的 探讨彩色超声诊断胆总管结石的价值.方法 胆总管结石患者100例术中分别采用彩色超声检查和胆管造影术进行诊断,比较两种检查方法的敏感性、特异性、准确性及检查耗时.结果 经手术确诊为胆总管结石90例,占90％.术中彩色超声检查正确诊断者88例,假阴性2例,无假阳性；术中胆管造影术正确诊断者87例,假阴性3例,假阳性2例；两种诊断方法的敏感性、特异性及准确性比较差异均无统计学意义(x2=0.23、1.25、0.57,均P＞0.05).术中彩色超声检查时间为12 ～ 28 min,平均检查耗时(16.57±4.12) min；术中胆管造影术检查时间为12 ～37 min,平均检查耗时(21.09±6.24) min；差异有统计学意义(t=6.53,P＜0.05).随访5～12个月,无残余结石患者.结论 术中彩色超声具有无创、方法简便、安全、省时、可重复性好、成功率高等优点,可为胆总管结石的主要检查手段.
目的 探討綵色超聲診斷膽總管結石的價值.方法 膽總管結石患者100例術中分彆採用綵色超聲檢查和膽管造影術進行診斷,比較兩種檢查方法的敏感性、特異性、準確性及檢查耗時.結果 經手術確診為膽總管結石90例,佔90％.術中綵色超聲檢查正確診斷者88例,假陰性2例,無假暘性；術中膽管造影術正確診斷者87例,假陰性3例,假暘性2例；兩種診斷方法的敏感性、特異性及準確性比較差異均無統計學意義(x2=0.23、1.25、0.57,均P＞0.05).術中綵色超聲檢查時間為12 ～ 28 min,平均檢查耗時(16.57±4.12) min；術中膽管造影術檢查時間為12 ～37 min,平均檢查耗時(21.09±6.24) min；差異有統計學意義(t=6.53,P＜0.05).隨訪5～12箇月,無殘餘結石患者.結論 術中綵色超聲具有無創、方法簡便、安全、省時、可重複性好、成功率高等優點,可為膽總管結石的主要檢查手段.
목적 탐토채색초성진단담총관결석적개치.방법 담총관결석환자100례술중분별채용채색초성검사화담관조영술진행진단,비교량충검사방법적민감성、특이성、준학성급검사모시.결과 경수술학진위담총관결석90례,점90％.술중채색초성검사정학진단자88례,가음성2례,무가양성；술중담관조영술정학진단자87례,가음성3례,가양성2례；량충진단방법적민감성、특이성급준학성비교차이균무통계학의의(x2=0.23、1.25、0.57,균P＞0.05).술중채색초성검사시간위12 ～ 28 min,평균검사모시(16.57±4.12) min；술중담관조영술검사시간위12 ～37 min,평균검사모시(21.09±6.24) min；차이유통계학의의(t=6.53,P＜0.05).수방5～12개월,무잔여결석환자.결론 술중채색초성구유무창、방법간편、안전、성시、가중복성호、성공솔고등우점,가위담총관결석적주요검사수단.
Objective To explore of the color Doppler ultrasound diagnosed choledocholithiasis.Methods 100 cases with choledocholithiasis diagnosed by color ultrasonography and cholangiography were analysed retrospectively.The sensitivity,specificity,accuracy and the inspection time of two methods were compared.Results 90 cases were diagnosed after operation,90％ in 100 patients.The diagnostic accuracy of Doppler ultrasound was 88 cases,2 false negative cases,no false positive.The diagnostic accuracy of cholangiography was 87 cases,3 false negative cases,2 false positive cases.The sensitivity,specificity and accuracy of two groups were not statistically significant (x2 =0.23,1.25,0.57,P ＞ 0.05).The inspection time of color ultrasound was 12 ～ 28 min,the average inspection time was (16.57 ±4.12)min.The inspection time of cholangiography was 12 ～37min,the average inspection time was (21.09 ± 6.24) min.The inspection times of two ways were statistically significant (t =6.53,P ＜ 0.05).Followed up between 5 months and 2 years,there was no residual gallstone patients.Conclusion Color Doppler ultrasound is a noninvasive,safe,time-saving,simple,good repeatability,high successful rate,for common bile duct stones in the main examination methods.
