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[常规超声在胆管结石诊断中的应用]

[Conventional ultrasound in the diagnosis of bile duct calculi].

作者信息

Gologan Elena, Balan Gh, Stanciu C

机构信息

Institul de Gastroenterologie şi Hepatologie, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2006 Oct-Dec;110(4):824-9.

PMID:17438882
Abstract

UNLABELLED

Transabdominal ultrasound (US) is one of the most useful methods in the diagnosis of biliary stones.

AIM OF THE STUDY

To appreciate the value of US in the diagnosis of bile duct stones.

MATERIAL AND METHOD

989 patients, explored in the Institute of Gastroenterology and Hepatology Iaşi by US compared with ERCP, MRCP, operative diagnosis and the final diagnostic.

RESULTS

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.

DISCUSSION

The results were comparable with the most recent studies in the literature.

CONCLUSION

US is an efficient method for the diagnosis of bile duct stones in many cases and remains the first step in the diagnosis.

摘要

未标注

经腹超声(US)是诊断胆管结石最有用的方法之一。

研究目的

评估超声在胆管结石诊断中的价值。

材料与方法

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。

结果

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。

讨论

结果与文献中最新研究相当。

结论

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。

相似文献

1
[Conventional ultrasound in the diagnosis of bile duct calculi].[常规超声在胆管结石诊断中的应用]
Rev Med Chir Soc Med Nat Iasi. 2006 Oct-Dec;110(4):824-9.
2
Impact of the operator's experience on value of high-resolution transabdominal ultrasound in the diagnosis of choledocholithiasis: a prospective comparison using endoscopic retrograde cholangiography as the gold standard.操作者经验对高分辨率经腹超声诊断胆总管结石价值的影响:以内镜逆行胆管造影为金标准的前瞻性比较
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Chir Ital. 2005 Sep-Oct;57(5):635-40.
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Diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis.磁共振胰胆管造影和超声与直接胆管造影在检测胆总管结石方面的诊断准确性比较。
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Prospective comparison of endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in the detection of bile duct stones.内镜超声检查与内镜逆行胰胆管造影术在胆管结石检测中的前瞻性比较
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Surg Endosc. 2016 May;30(5):1958-64. doi: 10.1007/s00464-015-4421-5. Epub 2015 Jul 22.
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Ultrasound versus liver function tests for diagnosis of common bile duct stones.超声检查与肝功能检查对胆总管结石的诊断比较
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