59例中老年黄疸的超声病因诊断

Ultrasound diagnosing the etiology of jaundice in 59 middle and elderly patients

目的 对59例中老年黄疸患者行腹部超声检查,评估超声对黄疸病因诊断的价值和意义。方法 59例中老年均为首诊黄疸待查而行超声检查,不包括各种诊断明确的肿瘤终末期黄疸患者。所有病例均经手术、病理、CT、磁共振及实验室检查或一系列临床随访而进行病因分析。结果 梗阻性黄疸44例(75％);非梗阻性黄疸15例(25％)。其中恶性梗阻性黄疸30例,良性梗阻性黄疸14例梗阻性黄疸中以胰头及其周围占位性病变为主,非梗阻性黄疸中以胆淤性肝损为主。结论 中老年首诊黄疸以恶性梗阻性为多见,药物对中老年肝胆系统损害也不容忽视。超声可作为中老年黄疸的首选影像学方法。

Purpose This study was to evaluate the value and significance of ultrasound examination in diagnosing the etiology of jaundice. Methods 59 middle and elderly patients with jaundice in first consultation,not including the patients whose jaundice were caused by end - stage tumor diagnosed clearly .were carried out ultrasound examination. All cases were analyzed for etiology of jaundice through surgery,pathological examination,CT,MRI,Lab examination and a series of clinical follow - up Results There were obstructive jaundice in 44 patients (75 %) and nonobstructive jaundice in 15 ones (25%). In the 44 obstructive ones, 30 were malignant and 14 benign Obstructive jaundice were mainly caused by occupied lesion in the head of and around pancreas, non-obstructive jaundice were mainly caused by biliary liver damage,Conclusion Jaundice in the middle and elderly patients was mainly malignant and obstructive, but drug - induced epatocholangosystem damage could not be neglected. Ultrasound examination could be of choice method for diagnosing etiology of jaundice in the middle and elderly patients.