探讨肝胆管结石病的彩超诊断价值及鉴别诊断.docVIP

精品论文 参考文献 探讨肝胆管结石病的彩超诊断价值及鉴别诊断 穆棱市人民医院 157599 摘要：目的 研究分析肝胆管结石病的彩超诊断价值及鉴别诊断分析。方法 此次研究的对象是选择2012年2月—2014年2月期间入住该院收治的52例肝胆管结石患者。将其临床资料进行回顾性分析。结果 52例患者肝胆管结石大小为0.3～3.2 cm，以位于肝左叶居多，占67.3%（35/52），与肝右叶分布率及左右肝内胆管结石分布率比较，结石分布差异有统计学意义，chi;2分别为18.73和39.43，Plt;0.05。其声像图表现为沿左右肝内胆管走行呈簇状分布，可见多发泥沙样结石呈斑点状、条索状、团块状或不规则分布的高、强回声，后方大多伴明显声影，近端肝内胆管扩张至0.5～2.1 cm，与伴行的门静脉分支形成“平行管征”。病灶部位血流显像中可见，门静脉及肝动脉血流显像均清晰者46例（占88.5%）。结论 彩超检查是肝胆管结石病重要的诊断手段，在超声下多角度、多切面扫查，并利用门静脉血流动力学信息，可准确判断及鉴别。 　　关键词：肝胆管结石病；彩超；诊断；鉴别诊断 　　[Abstract] Objective To study the value of color Doppler ultrasound in diagnosis and differential diagnosis of hepatic bile duct stones. Methods the study was selected from 52 patients with intrahepatic duct stones admitted to the hospital during the period of February 2014 February 2012. The clinical data were retrospectively analyzed. Results of 52 cases of size of intrahepatic bile duct stones in patients with 0.3 ～ 3.2 cm，in left hepatic lobe dominated，accounted for 67.3%（35 / 52），with the right lobe of the liver distribution rate of left and right intrahepatic bile duct stones distribution rate，there are statistically significant differences in the distribution of calculi and chi square were 18.75 and 39.43（P lt; 0.05）. The sonographic appearances to get along the right and left intrahepatic bile duct showed cluster distribution，visible multiple sediment like stone patchy，cords，nodular or irregular distribution of the high and strong echo，rear mostly with obvious acoustic shadow，proximal dilatation of the intrahepatic bile ducts to 0.5 ～ 2.1 cm，with bank branches of the portal vein form parallel tube syndrome. In the blood flow imaging of the lesion，the portal vein and hepatic artery blood flow imaging were clear in 46 cases（88.5%）. Conclusion color Doppler ultrasound examination is an important diagnostic tool for the diagnosis of hepatic biliary stone disease. It can be used to determine and identify the portal vein hemodynamic information in the multi angle and multi section scannin