超声检查在梗阻性黄疸中的应用价值

Evaluation of Ultrasound Examination in Diagnosing Obstructive Jaundice

目的提高超声对梗阻性黄疸诊断重要性的认识。方法回顾性分析59例经手术病理证实的梗阻性黄疸病例的超声特征。其中最常见的胆总管结石42例,胆总管癌9例,胰头癌5例,肝门胆管癌、胆囊癌、壶腹癌各1例。结果超声诊断胆总管结石38例,符合率(准确率)90.5%,诊断胆总管癌7例,符合率(准确率)77.8%,胰头癌3例,符合率(准确率)60%,超声诊断梗阻性黄疸的符合率为(准确率)86.4%。结论超声检查对梗阻性黄疸的诊断及病因诊断有很大的价值。

Objective To increase the understanding of the importance of Ultrasound examination in diagnosing obstructive jaundice. Methods Fifty nine obstructive jaundice cases proved by operation and pathology inspection were analyzed retrospectively with their ultrasound examination data. In which, there were 42 cases of choledoch stone, 9 cases of choledoch cancer, 5 cases of caput pancreatis cancer, 1 case of liver gate bile duct cancer, 1 case of gallbladder cystocarcinoma and 1 case of ampule cancer. Results 38 cases of choledoch stone were diagnosed by ultrasound examination, the rate of accuracy was 90.5 %. 7 cases of choledoch cancer were diagnosed by ultrasound examination, the rate of accuracy was77.8%. 3 cases of caput pancreatis cancer were diagnosed by uhrasound examination, the rate of accuracy was 60%. Generally speaking, the accuracy rate of the diagnosis of obstructive jaundice with ultrasound examination was 86.4 %. Conclusion Ultrasound examination is of great value both in the diagnosis and etiologic diagnosis of obstructive jaundice.