国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2015年
1期
18-21
,共4页
罗小兵%黄海仪%乔铁%冯禹阳%王兴强%王小峰
囉小兵%黃海儀%喬鐵%馮禹暘%王興彊%王小峰
라소병%황해의%교철%풍우양%왕흥강%왕소봉
胆囊结石%华支睾吸虫%超声%诊断%敏感性%特异性
膽囊結石%華支睪吸蟲%超聲%診斷%敏感性%特異性
담낭결석%화지고흡충%초성%진단%민감성%특이성
Gallstones%Clonorchis sinensis%Ultrasound%Diagnosis%Sensitivity%Specificity
目的 分析胆囊结石合并华支睾吸虫感染患者的超声影像学特点,探讨其临床诊断价值.方法 回顾分析2009年1月-2012年12月间2 886例胆囊结石患者中同时有华支睾吸虫感染者(以胆汁中发现虫卵为诊断依据)的肝、胆超声声像学特点及二者的关系. 结果 所有胆囊结石患者中,华支睾吸虫感染率43.3％ (384/886).与之相比,超声出现除胆囊结石外的额外声像比例为33.6％(298/886),两者差异有统计学意义(x2=26.455,P＜0.05),其总的敏感性和特异性为43.0％ (165/384)和73.5％ (369/502).额外声像的种类及其敏感性和特异性分别是:肝实质增粗和/或肝内外胆管壁增厚为6.0％和99.6％;胆囊壁增厚(≥3 mm)和/或胆囊增大为10.4％和93.2％;胆囊炎症表现为12.5％和91.8％;胆泥、胆囊沉积物和/或泥沙样结石为26.3％和85.1％. 结论 胆囊结石患者合并华支睾吸虫感染时,肝胆超声会出现除胆囊结石外的额外声像,但用于临床诊断敏感性不足.
目的 分析膽囊結石閤併華支睪吸蟲感染患者的超聲影像學特點,探討其臨床診斷價值.方法 迴顧分析2009年1月-2012年12月間2 886例膽囊結石患者中同時有華支睪吸蟲感染者(以膽汁中髮現蟲卵為診斷依據)的肝、膽超聲聲像學特點及二者的關繫. 結果 所有膽囊結石患者中,華支睪吸蟲感染率43.3％ (384/886).與之相比,超聲齣現除膽囊結石外的額外聲像比例為33.6％(298/886),兩者差異有統計學意義(x2=26.455,P＜0.05),其總的敏感性和特異性為43.0％ (165/384)和73.5％ (369/502).額外聲像的種類及其敏感性和特異性分彆是:肝實質增粗和/或肝內外膽管壁增厚為6.0％和99.6％;膽囊壁增厚(≥3 mm)和/或膽囊增大為10.4％和93.2％;膽囊炎癥錶現為12.5％和91.8％;膽泥、膽囊沉積物和/或泥沙樣結石為26.3％和85.1％. 結論 膽囊結石患者閤併華支睪吸蟲感染時,肝膽超聲會齣現除膽囊結石外的額外聲像,但用于臨床診斷敏感性不足.
목적 분석담낭결석합병화지고흡충감염환자적초성영상학특점,탐토기림상진단개치.방법 회고분석2009년1월-2012년12월간2 886례담낭결석환자중동시유화지고흡충감염자(이담즙중발현충란위진단의거)적간、담초성성상학특점급이자적관계. 결과 소유담낭결석환자중,화지고흡충감염솔43.3％ (384/886).여지상비,초성출현제담낭결석외적액외성상비례위33.6％(298/886),량자차이유통계학의의(x2=26.455,P＜0.05),기총적민감성화특이성위43.0％ (165/384)화73.5％ (369/502).액외성상적충류급기민감성화특이성분별시:간실질증조화/혹간내외담관벽증후위6.0％화99.6％;담낭벽증후(≥3 mm)화/혹담낭증대위10.4％화93.2％;담낭염증표현위12.5％화91.8％;담니、담낭침적물화/혹니사양결석위26.3％화85.1％. 결론 담낭결석환자합병화지고흡충감염시,간담초성회출현제담낭결석외적액외성상,단용우림상진단민감성불족.
Objective To analyze the ultrasonographic characteristics and investigate the clinical diagnostic value of ultrasonography for Clonorchis sinensis infection in gallstone patients.Methods From January 2009 to December 2012,886 gallstone patients were investigated retrospectively for the ultrasonographic characteristics,and the relationship between the ultrasonographic characteristics and the concurrent infection of C.sinensis was analyzed (diagnosed on the finding of eggs in bile).Results Of all the gallstone patients,the infection rate of C.sinensis was 43.3％ (384/886).Contrast to this,the abdominal ultrasonography found additional sonograms from 33.6％(298/886) of the patients except the abnormal gallstones sonograms,and the difference was statistically significant (x2=26.455,P＜0.05).And the overall sensitivity and specificity of ultrasonography for C.sinensis infection diagnosis was 43.0％ (165/384) and 73.5％ (369/502) respectively.Furthermore,the form of these additional sonograms,and its sensitivity and specificity was as follows:liver parenchyma enlargement and / or bile duct wall thickening(6.0％,99.6％),gallbladder wall thickening(≥ 3 mm) and / or gallbladder enlargement (10.4％,93.2％),cholecystitis (12.5％,91.8％),and biliary sludge,gallbladder sediments and / or sand-like stones (26.3％,85.1％).Conclusion For diagnosis of C.sinensis infection in gallstone patients,some ultrasonographic characteristics may display,however it is lack of clinical diagnostic sensitivity.
