532例超声诊断肝胆管结石术前术后临床资料分析

摘要i目的整理及分析532例超声诊断肝胆管结石术前术后临床资料特点。方法随机抽取532例肝胆管结石术前术后临床资料，调查内容为男女比例，病史及病例名称、手术方式、术后情况。结果单纯胆囊结石294例占55．2％，其它肝胆管结石病例238例占44．7％，二者比较差异显著（P〈0.05）。超声未能诊断肝胆管狭窄，与术后比较差异有非常显著（P〈0．01）。胆囊结石伴肝外胆管结石的病例比肝内胆管结石伴胆囊结石的病例多，二组比较差异非常显著（P〈0.01），胆囊结石伴肝外胆管结石的病例比肝内胆管结石伴胆囊结石的病例多，二组比较差异非常显著（P〈0.01），本组病例中有32例伴有胰腺炎，超声诊断发现2例，二者比较差异非常显著（P〈0.01）。结论虽然目前肝胆管结石的诊断主要靠超声检查，但是需要与临床密切联系，包括患者的临床体征及检验和其它影像联合检查，避免发生误诊和漏诊。

Objective Sorting and analysis of 53g cases of ultrasound diagnosis of hepatolith preoperative clinical data of postoperative characteristics. Methods A random sample of 532 patients with hepatolith preoperative clinical data,Survey content is The sex ratio, Medical history Operation method,Postoperative condition. Results Simple gallbladder stone in 294 cases （55.2 %）, Other hepatolith cases 238 cases （44.7 % ） ,The two To compare Signifieant difference （P〈0.05）. Ultrasound to the diagnosis of hepatic duct stenosis, there is a very significant difference compared with postoperative （P〈0. 01）. Conclusion Although the diagnosis of hepatolith Mainly by ultrasound, but need to closely connection with clinical, including the patien＇s clinical signs and inspection, and other ima ging, avoid the misdiagnosis and missed diagnosis.