超声在胆总管结石诊断中的临床应用价值

Clinical application value of ultrasonography in the diagnosis of choledocholithiasis

目的探讨并分析超声在胆总管结石诊断中的临床应用价值。方法将医院收治的疑似胆总管结石患者153例,随机分为试验组77例和对照组76例。对照组采取CT方法进行诊断,试验组联合超声检查方法进行诊断。比较2组患者的诊出率、漏诊率及并发症情况。结果试验组诊出率为89.61%,高于对照组的73.68%(P<0.05);试验组漏诊率为10.39%,低于对照组的26.32%(P<0.05)。试验组并发症发生率较对照组低,差异有统计学意义(P<0.05)。结论超声检查方法在胆总管结石诊断中具有重要的临床应用价值。

Objective To discuss the clinical application value of ultrasonography in the diagnosis of choledocholithi- asis. Methods 153 eases of patients with suspected choledocholithiasis were randomly divided into the test group with 77 pa- tients, and the control group with 76 patients. The CT examination was used to diagnose in control group, while the test group received the CT examination combined with ultrasound examination for diagnosis. The detection rate, missed diagnosis rate and complications of 2 groups were compared. Results The detection rate of 2 groups were 89.61% and 73.68% respectively. The test group was higher than the control group （P 〈0.05 ）. The missed diagnosis rate of the test group was 10.39% ,which was lower than 26.32% of the control group（P 〈 0.05 ）. And complications rate of the test group was lower than the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion The uhrasonography plays an important role in the diagnosis of choledocholithiasis.