CAJ | 학술논문

目的：探讨多层螺旋CT对梗阻性黄疸梗阻部位和病因的诊断价值。方法对86例梗阻性黄疸患者的临床资料进行回顾性分析，对比多层螺旋CT检查结果与术中所见和病理检查结果的一致性。结果86例患者中，术中所见及术后病理证实梗阻部位在肝外胆管者9例，梗阻部位在肝内胆管者57例，梗阻部位在胰头部14例，梗阻部位在十二指肠乳头部者6例。而CT检出结果分别为7例、46例、14例和3例，总准确率86％。梗阻病因中，胆管结石56例，胆管炎性疾病10例，胆管肿瘤4例，乳头部肿瘤5例，胰头癌11例。经CT检出结果分别为48例、6例、2例、4例和11例，总准确率80%。结论多层螺旋CT作为临床常规诊断手段，具备多层面扫描、无需使用造影剂、检查准确率高等优点，而且方便基层医院使用，有利于临床的广泛应用，值得临床广泛推广。
목적：탐토다층라선CT대경조성황달경조부위화병인적진단개치。방법대86례경조성황달환자적림상자료진행회고성분석，대비다층라선CT검사결과여술중소견화병리검사결과적일치성。결과86례환자중，술중소견급술후병리증실경조부위재간외담관자9례，경조부위재간내담관자57례，경조부위재이두부14례，경조부위재십이지장유두부자6례。이CT검출결과분별위7례、46례、14례화3례，총준학솔86％。경조병인중，담관결석56례，담관염성질병10례，담관종류4례，유두부종류5례，이두암11례。경CT검출결과분별위48례、6례、2례、4례화11례，총준학솔80%。결론다층라선CT작위림상상규진단수단，구비다층면소묘、무수사용조영제、검사준학솔고등우점，이차방편기층의원사용，유리우림상적엄범응용，치득림상엄범추엄。
Objective To investigate the diagnostic accuracy of multislice spiral computed tomography (MSCT) on the location and etiology of obstructive jaundice. Methods Analyze 86 cases′clinical data by retrospective anal-ysis method, and compare the CT scan results with the intraoperative findings and pathology results. Results Eighty-six patients′data was analyzed, the location of obstructive jaundice were in extrahepatic bile duct , intrahepatic bile duct, pancreatic and duodenal papilla, the total accuracy of CT scan is 86.0%. The etiology of obstructive jaundice were bile duct stones, cholangitis, bile duct cancer, duodenal tumors and pancreatic cancer, the the total accuracy of CT scan is 80%. Conclusion Multislice spiral computed tomography ( MSCT) has high accuracy on the location and etiology for obstructive jaundice.