108例阻塞性黄疸的超声诊断分析

The analysis of ultrasonography diagnosis on obstructive jaundice.

目的探讨超声在阻塞性黄疸诊断中的价值。方法对我院2004-2007年收治并手术的108例阻塞性黄疸患者的超声声像图进行回顾性分析和总结。结果阻塞性黄疸超声诊断与手术病理结果符合102例(94.4%),其中胆管结石65例,诊断符合率100%;胆管狭窄2例,诊断符合率66.6%;胰腺炎1例,诊断符合率50.0%;胆囊炎(向后压迫)3例,诊断符合率100%;胰头癌14例,诊断符合率87.5%;壶腹癌11例,诊断符合率91.7%;胆管癌6例,诊断符合率85.7%。结论超声诊断阻塞性黄疸与手术病理结果符合率高,可作为阻塞性黄疸检查的首选方法,结合临床可提高诊断率。

Objective To research the ultrasonography diagnosis value on obstructive jaundice. Methods The uhrasonography results of 108 patients of obstructive jaundice in our hospital were analyzed retrospectively. Results The ultrasonography results of 102 patients of obstructive jaundice accorded with operation pathological results. 65 patients of obstructive jaundice were caused by calculus of bile duct, with an accuracy of 100% ; 2 patients of obstructive jaundice were caused by stenosis of bile duct, with an accuracy of 66. 6%; 1 patients of obstructive jaundice was caused by pancreatitis, with an accuracy of 50% ; 3 patients of obstructive jaundice were caused by cholecystitis, with an accuracy of 100% ; 14 patients of obstructive jaundice were caused by carcinoma of head of pancreas, with an accuracy of 87. 5% ; 11 patients of obstructive jaundice were caused by ampullary carcinoma, with an accuracy of 91.7% ; 6 patients of obstructive jaundice were caused by carcinoma of bile duct, with an accuracy of 85. 7%. Conclusion Ultrasonography is an ideal method for diagnosis of obstructive jaundice, we can improve the accuracy by closely combining to clinic.