CAJ | 학술논문

目的：分析与探讨胆总管末端小结石误诊的原因。方法选取本院2010年1月～2014年1月期间收治的胆总管末端小结石误诊患者共15例，对患者的临床资料与诊疗情况进行回顾性分析。结果15例患者中，被误诊为胃病共5例（33.3%），冠心病3例（20.0%），急性肝炎共5例（33.3%），慢性肝炎共2例（13.4%）。发生误诊的患者中，共12例（80.0%）为年龄超过65岁的老年人。结论对于胆总管末端小结石患者，在进行诊断时，应结合体格检查、影像学检查以及临床经验进行综合分析，以降低漏诊与误诊率，提高患者的治疗效果。
목적：분석여탐토담총관말단소결석오진적원인。방법선취본원2010년1월～2014년1월기간수치적담총관말단소결석오진환자공15례，대환자적림상자료여진료정황진행회고성분석。결과15례환자중，피오진위위병공5례（33.3%），관심병3례（20.0%），급성간염공5례（33.3%），만성간염공2례（13.4%）。발생오진적환자중，공12례（80.0%）위년령초과65세적노년인。결론대우담총관말단소결석환자，재진행진단시，응결합체격검사、영상학검사이급림상경험진행종합분석，이강저루진여오진솔，제고환자적치료효과。
Objective To investigate the reason analysis and the end of the common bile duct stones of misdiagnosis of small. Methods Selected the hospital in 2010 January to 2014 year end of the common bile duct stones in patients with small misdiagnosis during January were a total of 15 cases, the clinical data of diagnosis and treatment of patients were retrospectively analyzed. Results Of the 15 patients, 5 cases were misdiagnosed as gastric disease (33.3%), 3 cases of coronary heart disease (20%), a total of 5 cases of acute hepatitis, chronic hepatitis (33.3%) a total of 2 cases (13.4%). Misdiagnosis of the patients, 12 cases (80%) over 65 years of age for the elderly. Conclusion For the end of the common bile duct stones in patients with small, diagnosis, should be combined with physical examination, imaging examination and clinical experience to conduct a comprehensive analysis, in order to reduce the misdiagnosis and missed diagnosis rate, improve the treatment of patients.