医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
9期
31
,共1页
何芳%张光全%廖忠%吴先麟
何芳%張光全%廖忠%吳先麟
하방%장광전%료충%오선린
术中B超%胆总管末端%结石%诊断
術中B超%膽總管末耑%結石%診斷
술중B초%담총관말단%결석%진단
intraoperative B-ultrasonography%Stones%distal common bile duct%Diagnosis
目的:探讨术中B超(IOBUS)在胆总管末端结石诊断中的价值.方法:对127例拟诊为胆总管末端结石的患者,实施微创开腹手术,应用术中B超检查胆总管末端,将术中B超结果与术前B超及MRCP检查结果进行对比分析.结果:术前B超准确率为32.3%(41/127),术中B超诊断准确率为85.5%(109/127),后者明显高于前者,χ2=22.05,p<0.01;MRCP准确率为89.8%(114/127),与术中B超准确率无显著差别,χ2=0.0597,p>0.05.结论:术中B超在胆总管末端结石诊断中准确率高,安全、无创,价格便宜,操作简便,在基层医院可做为MRCP的替代检查.
目的:探討術中B超(IOBUS)在膽總管末耑結石診斷中的價值.方法:對127例擬診為膽總管末耑結石的患者,實施微創開腹手術,應用術中B超檢查膽總管末耑,將術中B超結果與術前B超及MRCP檢查結果進行對比分析.結果:術前B超準確率為32.3%(41/127),術中B超診斷準確率為85.5%(109/127),後者明顯高于前者,χ2=22.05,p<0.01;MRCP準確率為89.8%(114/127),與術中B超準確率無顯著差彆,χ2=0.0597,p>0.05.結論:術中B超在膽總管末耑結石診斷中準確率高,安全、無創,價格便宜,操作簡便,在基層醫院可做為MRCP的替代檢查.
목적:탐토술중B초(IOBUS)재담총관말단결석진단중적개치.방법:대127례의진위담총관말단결석적환자,실시미창개복수술,응용술중B초검사담총관말단,장술중B초결과여술전B초급MRCP검사결과진행대비분석.결과:술전B초준학솔위32.3%(41/127),술중B초진단준학솔위85.5%(109/127),후자명현고우전자,χ2=22.05,p<0.01;MRCP준학솔위89.8%(114/127),여술중B초준학솔무현저차별,χ2=0.0597,p>0.05.결론:술중B초재담총관말단결석진단중준학솔고,안전、무창,개격편의,조작간편,재기층의원가주위MRCP적체대검사.
objective To study the value of intraoperative B-ultrasonography in diagnosing stones at distal common bile duct. Methods select 127 cases in openning minimaly invasive operations ,Compared the result of B-US and MRCP with IOBUS.Results the accuracy rate of. IOBUS(85.5%) were significantly higher than that of B-US(32.3 %). (χ2=22.05, p<0.01).But there were no significant difference between IOBUS (85.5%) and MRCP (89.8%) , χ2=0.0597,p>0.05.Conclusion IOBUS can be used in basic level hospitals, instead of MRCP as a safe, cheap ,and non-invasive check method.
