基层医院应用螺旋CT诊断梗阻性黄疸的30例分析

目的探讨螺旋CT诊断梗阻性黄疸的临床价值。方法选取自2008年12月-2012年1月收治的30例经过手术病理证实的梗阻性黄疸患者为临床研究对象。对30例梗阻性黄疸患者分别进行螺旋CT诊断及US诊断。比较螺旋CT诊断、US诊断对梗阻平面的诊断正确率、对梗阻病因的诊断正确率和对梗阻性黄疸的漏诊及误诊率上的差别。结果螺旋CT在对梗阻平面及梗阻病因上的诊断正确率要明显高于US诊断,且CT诊断梗阻性黄疸时的漏诊、误诊率明显低于US诊断,P<0.05,差异具有统计学意义。结论螺旋CT对梗阻性黄疸的诊断价值高于US的诊断价值,值得在临床推广。

Objective To explore application of spiral CT diagnosis of obstructive jaundice clinical value analysis. Methods Our selection since December 2008 to January 2012 were proved b, operational pathology after surgery in patients with obstructive jaundice 30 cases, as a clinical researcl~ object. 30 cases of patients with obstructive jaundice were spiral CT diagnosis and US diagnosis. Comparative spiral CT diagnosis, US diagnosis of obstruction of the plane, the diagnostic accuracy of obstruction etiology diagnosis accuracy and obstructive jaundice of misdiagnosis and missed diagnosis rate difference. Results Spiral CT in the obstruction plane and obstruction etiology of the diagnostic accuracy obviously higher than to the US diagnosis, and CT diagnosis of obstructive jaundice of missed diagnosis and misdiagnosis rate is obviously lower than the US diagnosis, P 〈 0.05, with statistical significance. Conclusion Spiral CT in the diagnosis of obstructive jaundice is worth more than US diagnosis value, has the vitalsignificance, it is worth popularization in clinical.