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ID:32004088
大小:2.12 MB
页数:22页
时间:2019-01-30
《内镜超声检查术对梗阻性黄疸的诊断价值》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、万方数据·英文论著摘要·Evaluationofendoscopicultrasonographyinl●‘●··●●l■diagnosing0DstructlvejaundiceForewordObstructivejaundiceismorecomplex,timelyandaccuratepositioningdiagnosis,prognosis,andfacilitatethedevelopmentoftreatmentprograms.Endoscopicultrasoundcandigesterlesionsinendoscopicultrasoundscandirect
2、lypositionedtogetthedigestivetractwalladjacentorgansaroundthelevelandultrasoundimages.Diagnosisofobstructivejaundiceismainlydependentontheclinicalimaging,conventionalUS,CTandMRIandothertestshavebeenwidelyused.EUSinrecentyearsgraduallybeenwidelyusedinclinical,technologycontinuestomature,whichhasa
3、uniquevalueinthediagnosisanddifferentialdiagnosisofobstructivejaundice.TheinterventionaldiagnosisandtreatmentonthebasisofEUS-guidedalsoopenforuseinclinicalpractice.ObjectiveThisarticleendoscopicultrasounddiagnosisofobstructivejaundiceandabdominalultrasoundresults,CT,MRIandsurgicalfindingswereana
4、lyzedtoevaluatethediagnosticvalueofendoscopicultrasoundclinic.MaterialsandMethodsRetrospectiveanalysisof97casesofpatients诵Ⅱlobstructivejaundice,wereconfirmedbysurgery,pathologyandendoscopicdiagnosis.AllpatientsunderwentEUSexamination,88patientswereB—ultrasound,91patientsunderwentaCTSCan,31patien
5、tsdidaMRI.Onthetestresultswereanalyzed.ResuitsInthisstudy,thediagnosisofobstructiveetiologyofall97patients,EUSaccuratelydiagnoseatotalof86cases,thediagnosticaccuracyWas89%.US,CTandMRIdiagnosisofthecauseofthisexperimentalgroupobstructiveaccuracyrateswere3万方数据35%(31/88),54%(49/91),87%(27/31).Concl
6、usionEUSdiagnosisofthecauseofobstructivejaundiceaccuracyrateinabdominalultrasound,CTandMRI.Keywordsobstructivejaundice,endoscopicultrasound(EUS),diagnostic4万方数据·英文缩略语·万方数据·论文·内镜超声检查术对梗阻性黄疸的诊断价值前言梗阻性黄疸是肝胆胰外科疾病的常见临床表现。此类患者在手术后易发生出血、胆瘘、腹腔感染及肝、肾衰竭等并发症,手术病死率增高Ⅲ1。因此,明确病因对其诊断和治疗有非常重大的意义。虽然US,CT,MPd对诊断梗
7、阻性黄疸中有一定的敏感性,但这些无创技术对于病因诊断、疾病定位、及疾病范围的诊断可靠性有一定差异,因此,通过上述检查仍然有很多患者无法作出确切的诊断。EUS始于20世纪80年代,由Dignagn和Green首次应用于临床【21,指在内镜引导下,于消化道腔内对消化道及消化道周围的脏器进行超声扫描的检查方法N3,EUS可以在距病灶最近的位置对病灶进行超声扫描,以获得消化道管壁层次及周围邻近脏器的超声图像,可减少肠气等的干扰,而且超声频率可调变,一般
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