超声诊断胆囊结石并发急性胰腺炎临床价值.docVIP

超声诊断胆囊结石并发急性胰腺炎临床价值 　　[摘要] 目的 对超声诊断胆囊结石并发急性胰腺炎的临床价值进行分析。方法 方便选择该院2014年9月―2016年9月入院治疗的62例胆囊结石并发急性胰腺炎患者作为研究对象，对胆囊内结石数量以及大小进行观察，同时监测患者胰腺形态、周围状态以及形态、实质回声。结果 经超声诊断，发现胆囊结石中多发性结石为51例，发生率为82.26%，其中直径0.9 cm的小结石患者为42例，发生率为82.36%。≥0.9 cm的大结石为9例，发生率为17.64%。结论 直径小、多发性胆囊结石患者诱发急性胰腺炎疾病的概率较高，利用超声方式检查胆囊结石为临床研究急性胰腺炎疾病的致病因素提供了坚实的基础，同时对胆囊切除术的应用提供的影像学基础，值得在临床中应用推广。 　　[关键词] 超声诊断；胆囊结石；急性胰腺炎；价值 　　[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-0742（2017）02（b）-0171-03 　　[Abstract] Objective To analyze the clinical value of ultrasonic diagnosis of cholecystolithiasis and acute pancreatitis. Methods 62 cases of patients with cholecystolithiasis and acute pancreatitis treated in our hospital from September 2014 to September 2016 were convenient selected as the research objects and the stone number and size in gallbladder were observed， and the pancreas shape， peripheral state and shape and real echo were monitored. Results The ultrasonic diagnosis showed that there were 51 cases with multiple stones in gallbladder， and the incidence rate was 82.26%， and there were 42 cases of patients with microlith whose diameter 0.9 cm and the incidence rate was 82.36%， and there were 9 cases of patients with large common bile duct stones whose diameter ≥0.9 cm and the incidence rate was 17.64%. Conclusion The patients with small-diameter and multiple cholecystolithiasis can lead to the higher incidence rate of acute pancreatitis， the ultrasonic examination of cholecystolithiasis can provide solid foundation for the clinical research of acute pancreatitis and provide imaging basis for the application of cholecystectomy， which is worth clinical application and promotion. 　　[Key words] Ultrasonic diagnosis； Cholecystolithiasis； Acute pancreatitis； Value 　　急性胰腺炎在人?w消化系统急腹症中较为多见，且女性发病率较高，患者病死率也较高，位于急性胆囊炎以及急性阑尾炎之后。致病因素中，主要病因就是胆源性，胆道结石、胆道蛔虫以及炎症等较为常见[1]。在临床诊断中，多采用超声方式进行，诊断敏感性较高，接近于100%。该文方便选择该院2014年9月―2016年9月入院治疗的62例胆囊结石并发急性胰腺炎患者作为研究对象，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选择该院入院治疗的62例胆囊结石并发急性胰腺炎患者作为研究对象，包括21例女性患者，41例男性患者；