超声在急性胆源性胰腺炎胆道探查中的意义

The Significance of Ultrasonography in the Detection of Biliary Tract in Patients with Acute Biliary Pancreatitis

目的探讨和分析超声在急性胆源性胰腺炎胆道探查中的意义。方法我院收治急性胆源性胰腺炎患者120例,在患者知情同意情况下75例患者行超声检查后进行手术,45例患者进行磁共振检查后进行手术,根据手术结果以及临床资料进行分析比较两种检查的作用。结果超声组特异性、灵敏性、阳性预测值、阴性预测值与磁共振组分别为对比差不明显,P>0.05;超声组胆结石阳性率检测率80.00%,磁共振组为77.78%,差异不明显P>0.05。结论超声对诊断急性胆源性胰腺炎阳性率与磁共振比较并无明显的差异,临床医师需要具有更加专业的检查技术从而为临床治疗提供可靠理论依据。

Objective To investigate and analyze the significance of ultrasonography in the detection of biliary tract in patients with acute biliary pancreatitis. Method 120 cases of hospital patients with acute gallstone pancreatitis and in patients with informed consent under 75 cases underwent ultrasonography after surgery, 45 cases of patients underwent magnetic resonance imaging（MRI） surgery, according to the surgical results and clinical data for analysis of the comparison of two kinds of examination. Result Ultrasound group specificity, sensitivity, positive predictive value, negative predictive value and magnetic resonance group were compared with the difference was not obvious, P〉0.05. The detection rate of the positive rate of gallstone in ultrasound group was 80%, and the magnetic resonance group was 77.78%, and the difference was not significant P〉0.05. Conclusion There was no significant difference in the positive rate of the diagnosis of acute biliary pancreatitis and the magnetic resonance imaging. Clinicians need to have more professional examination technology to provide reliable theoretical basis for clinical treatment.