超声检查用于梗阻性黄疸诊断价值分析

Analysis of Value of Ultrasound Examination in Diagnosis of Obstructive Jaundice

目的分析梗阻性黄疸实施超声检查的诊断价值。方法选取该院收治的75例梗阻性黄疸患者,纳入时间为2014年1月—2016年8月,均经病理检查后确诊。分别对患者实施超声检查、CT检查,首先以病理检查结果为准,评价超声检查的准确性,然后和CT检查结果平行比较。结果以病理检查为准,超声检查准确率为94.7%,差异无统计学意义(P>0.05)。在梗阻部位上,肝外胆管超声检查准确率(91.9%)明显高于CT检查(70.3%),差异有统计学意义(P<0.05);在发病原因上,胆总管结石、胆总管癌、胆管炎、胰头癌、胆总管狭窄超声检查准确率分别为100.0%、85.7%、58.3%、80.0%、83.3%,高于CT检查的96.0%、71.4%、50.0%、60.0%、66.7%,差异无统计学意义(P>0.05)。结论超声检查梗阻性黄疸效果优于CT,能明确梗阻部位和发病原因,具有较高的应用价值,值得推广。

Objective To analyze the value of ultrasound examination in diagnosis of obstructive jaundice. Methods 75 cases of patients with obstructive jaundice admitted and treated in our hospital from January 2014 to August 2016 were selected and confirmed by the pathological examination, and the patients were examine by the ultrasound and CT, and the accuracy of ultrasound examination was evaluated by taking the pathological examination results as the standards, and then the results and CT examination results were parallelly compared. Results The accuracy of ultrasound exami-nation was 94.7%, and the difference was not statistically significant （ P〉0.05）, and the examination accurate rate of ex-trahepatic bile duct was obviously higher than that of CT examination（91.9% vs 70.3%）, and the difference was obvious, （ P〈0.05）, and the ultrasound examination accurate rate of choledocholith, choledochal duct carcinoma, cholangitis, pan-creatic head carcinoma and choledochal duct stenosis was higher than that of CT examination （100.0%,85.7%,58.3%, 80.0%,83.3% vs 96.0%,71.4%,50.0%,60.0%,66.7%）,and the differences were not obvious （ P〉0.05）. Conclusion The effect of ultrasound examination in diagnosis of obstructive jaundice is better than that of CT, which can clear the ob-struction site and pathogenesis, and it is of higher application value and is worth promotion.[