腹部超声在黄疸疾病中诊断价值.docVIP

腹部超声在黄疸疾病中的诊断价值 　　[摘要] 目的 观察并探讨腹部超声在黄疸疾病中的诊断价值。方法 此次研究对象整群选取2013年12月―2015年5月期间来该院就诊的108例黄疸病例，对其临床影像学资料展开回顾性分析。结果 以肝功能检查、手术病理诊断等为标准，入组患者中44例胆管扩张，其中7例为胆管癌，16例为胆总管结石，12例胰头癌，6例壶腹癌，3例胰头局限性炎症（1例漏诊，漏诊率0.9%）。64例胆管未扩张，其中14例为肝硬化伴腹水，32例为急性肝炎，4例为肝硬化伴肝癌，4例为急性结石性胆囊炎，2例为慢性活动性肝癌，8例为急性细菌性胆管炎（1例误诊，误诊率为0.9%）。确诊率为98.2%（106/108），胆管扩张组漏诊误诊率与胆管未扩张组相比，差异无统计学意义（P0.05）。 结论 在黄疸性疾病临床诊断中，腹部超声检测结果是一项重要的诊断依据，有利于临床做出诊断与鉴别性诊断 [关键词] 黄疸疾病；漏诊；确诊；腹部超声 [中图分类号] R445.1 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0189-02 [Abstract] Objective To observe and explore the diagnostic value of abdominal ultrasonography in the diagnosis of jaundice. Methods 108 cases of patients with jaundice treated in the hospital from December 2013 to May 2015 were selected， the clinical imaging data of which were analyzed retrospectively. According to liver function examination and surgical pathology diagnosis， among the enrolled patients， there were 44 cases with bile duct dilatation， including 7 cases with bile duct carcinoma， 16 cases with common bile duct stones， 12 cases with pancreatic carcinoma， 6 cases with ampullary carcinoma and 3 cases with pancreatic head limited inflammation （1 cases was misdiagnosed. The rate of misdiagnosis was 0.9%）. There were 64 cases with bile ductnon-dilated， including 14 cases with liver cirrhosis with ascites， 32 cases with acute hepatitis， 4 cases with liver cirrhosis with hepatocellular carcinoma， 4 cases with acute calculous cholecystitis， 2 cases with chronic active liver cancer and 8 cases with acute bacterial cholangitis （1 case was misdiagnosed. The rate of misdiagnosis was 0.9%）. The diagnosis rate was 98.2% （106/108）. Results The differences of misdiagnosis rate and incorrect diagnosis rate between Bile duct dilatation group and Bile duct non-dilatation group were not statistically significant（P0.05）. Conclusion In the clinical diagnosis of jaundice， abdominal ultrasound examination is an important diagnostic basis， which is helpful for clinical diagnosis and differential diag