Gologan Elena, Balan Gh, Stanciu C
Institul de Gastroenterologie şi Hepatologie, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2006 Oct-Dec;110(4):824-9.
Transabdominal ultrasound (US) is one of the most useful methods in the diagnosis of biliary stones.
To appreciate the value of US in the diagnosis of bile duct stones.
989 patients, explored in the Institute of Gastroenterology and Hepatology Iaşi by US compared with ERCP, MRCP, operative diagnosis and the final diagnostic.
The sensitivity of US in the detection of bile duct stones was 78.39% and specificity was 72.22% in the first group of 650 patients, and bile duct stones were identified in 139 cases of 339 of the second group where US could not identify the cause of bile duct dilatations.
The results were comparable with the most recent studies in the literature.
US is an efficient method for the diagnosis of bile duct stones in many cases and remains the first step in the diagnosis.
经腹超声(US)是诊断胆管结石最有用的方法之一。
评估超声在胆管结石诊断中的价值。
989例患者在雅西胃肠病学和肝病研究所接受超声检查,并与内镜逆行胰胆管造影(ERCP)、磁共振胰胆管造影(MRCP)、手术诊断及最终诊断结果进行比较。
在第一组650例患者中,超声检测胆管结石的敏感性为78.39%,特异性为72.22%;在第二组339例患者中,超声未能明确胆管扩张原因,其中139例发现胆管结石。
结果与文献中最新研究相当。
在许多情况下,超声是诊断胆管结石的有效方法,仍是诊断的第一步。