梗阻性黄疸的超声诊断及鉴别诊断价值

Valuation of Ultrasound Diagnosis and Differential Diagnosis in Obstructive Jaundice

目的:探讨腹部超声在梗阻性黄疸的诊断价值。方法:选取2010-2012年在本院就诊的64例梗阻性黄疸患者,均进行常规腹部超声检查,了解梗阻的原因及部位。结果:胆结石合并胆管结石39例,胆管癌8例,胰腺癌6例,壶腹癌3例,慢性胰腺炎3例,胆管内栓子2例,腹膜后肿大淋巴结压迫胆管3例。结论:超声检查不仅可以了解梗阻性黄疸的原因,还可以了解梗阻的部位,简便、易行、准确率较高,但受患者肠胀气,会影响扫查效果。

Objective：To explore valuation of ultrasound diagnosis and differential diagnosis in obstructive jaundice.Method：64 patients with obstructive jaundice were selected, and they were examined by conventional abdominal ultrasound and were proved by pathology after operatio or biopsy.Result：Totally, 39 of 64 patients were the bile duct gallstones merger, 8 patients were pancreatic cancer, 3 patients were carcinoma of ampulla,3 patients were pancreatic cancer, 3 patients were chronic pancreatitis, 2 patients were bile duct embolus within, 3 patients were retroperitoneal lymph node oppression of bile duct.Conclusion：Not only ultrasonic testing understands the causes of obstructive jaundice,but also knows the site of obstructive jaundi,ultrasonic testing is easy and accuracy is higher, but affected by the bowel bilges gas.