B超、双重胆囊胆道造影与手术病理133例的对照研究

A Comparison Study of Ultrasonography,. the Combination of Oral Cholecystography and Intravenous Cholangiography, Operation and pathology in 133 Cases

本文报道133例胆系手术,术前均经B超和口服加静脉双重胆囊胆道造影检查,依据手术病理结果,对两种诊断方法进行评价。B超与口服加静脉双重胆囊胆道造影相比较,诊断胆囊结石敏感度分别为98.23％,74.76％;特异度8O％,88.89％;准确度95.49％,77.69％。结果显示,对于胆囊疾病的诊断,B超优于口服加静脉双重胆囊胆道造影。当B超检查未显示胆囊或不能作出结论,或临床高度疑有胆囊疾病而未证实时,酌情作口服胆囊造影。静脉胆道造影对诊断胆管病变价值不高。

133 cases with biliary system diseases were operated. Before operations, ultrasonography and the combination of oral cholecystography and intravenous cholangiography were performed in all of these patients、We evaluated the two methods of diagnosis for the biliary system diseases on the basis of the results of operations and pathology. A comparison was made ofultrasonography and the combination of oral cholecystography and intravenous cholangiography for the diagnosis of the gallbladder calculi. The sensitivity for the former was 98.23%, the specificity 80% and the accuracy 95.49%, while the sensitivity for the latter was 74.76%, the specificity 88.89% and the accuracy 77.69%. The results revealed that ultrasonography was superior to the combination of oral cholecystography and intravenous cholangiography for the diagnosis of cholecystopathy.It is used when ultrasonography has failed to reveal the gallbladder, shown inconclusive findings, or failed to demonstrate the biliary disease despite strong clinical suspicion. The intravenous cholangiography was shown to be of little value in the diagnosis for the cholepathy.