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常用影像学检查对黄疸病因诊断的作用和意义

The role and meanings of common image examination in making ill-cause diagnosis for patients with jaundice
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摘要 目的从109例黄疸原因待查(下称黄疸查因)患者中挑选105例有完整影像学(B超、彩超、CT、MRI、X线)检查报告的病例,对其资料进行系统分析研究,探讨其在黄疸病因诊断和鉴别诊断方面的作用和意义。方法103例患者做了上腹部(肝、胆、胰、脾)超声检查,病情需要者再加做CT和/或MRI、个别患者加做了x线钡餐透视或胸片检查。单独做CT或MRI检查者各1例。结果B超检查16例(其中3例加做了MRI,2例加做了CT),由此查清黄疸主要病因(出院第1或唯一诊断,下同)7例和次要病因(出院第2或第3诊断,下同)5例。彩超检查87例(其中25例加做了CT,15例加做了MRI,3例先后做了CT和MRI,3例加做了x线钡餐透视或胸片),由此查清黄疸主要病因37例和次要病因38例。结论常用影像学检查对黄疸的病因诊断和鉴别诊断具有重要意义。对肿瘤、结石的诊断,具有不可替代的作用;对各种原因肝硬化,急、慢性胆囊炎的诊断具有重要的参考作用;而对于各型病毒性、药物性、酒精性肝病则不具特异性。 Objective From 109 patients with jaundice on unknown, the whole image examination data (including B ultrasonic examination, colour ultrasonic examination, CT, MRI and X-ray examination) of 105 cases were systematically analyzed, so as to explore the role and meanings of common image examination in making ill-cause diagnosis and discrimination diagnosis of jaundice. Methods 103 patients were checked with ultrasonic examination on upper abdomen (liver, gall, pancreas, spleen), and, if necessary, also CT or/and MRI or X-ray barium meal examination or chest examination. One patient was checked by only CT examination and another case by only MRI examination. Results From 16 cases with B ultrasonic examination (besides, 3 cases were checked MRI, 2 patients were checked CT), 7 patients were determined the main ill-cause of jaundice according to the first discharged diagnosis or the sole diagnosis. Another 5 cases were determined the second ill-cause of jaundice according to the second or third discharged diagnosis. From 87 patients with colour ultrasonic examination (in addition, 25 cases were checked CT, 15 patients were checked MRI, 3 cases were checked both CT and MRI, 3 cases were checked X-ray barium meal examination or chest examination), 37 patients were determined the main ill-cause, and, another 38 cases were determined the second ill-cause. Conclusions Common image examination has important meanings in making ill-cause diagnosis and discrimination diagnosis of jaundice. It has significant effect on diagnosing turnout or stone, and, has important reference on diagnosing cirrhosis, acute or chronic cholecystitis. But, it has no distinctive effect on all types of virus hepatitis, liver disease due to drug or alcohol.
作者 陈造基
出处 《世界感染杂志》 2011年第2期137-140,共4页 World Journal of Infection
关键词 常用 影像学检查 黄疸 病因诊断 Common use Image examination Jaundice Ill-cause diagnosis
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