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ID:33952963
大小:2.60 MB
页数:40页
时间:2019-03-02
《超声胆管造影评估梗阻性胆道疾病的临床分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、percutaneoUSultrasoniccholangiography(PUSC),820fthemwhoobtainedfinaldiagnosisbysurgicalorclinicalfindingsandmeanwhilegotPTC(Percutaneoustranshepaticcholangiography)wereruledin,including31menand31women,meanage(53·5±13·6)years(rangel9~76years).Therearecholedocholithia
2、sisin14,inflamedstricturein11,nostricturein8andneoplasticobstructionin48(hilarcancerin39andperiampullarymalignanttumorin9)·ThePUSCimagewascorrelatedwithPTCimageorotherbiliaryimages.Sensitivity,specificity,andaccuracyofPUSCindeterminingtheobstructivelevelandtheaccura
3、cyofPUSCindeterminingtheobstructivecausewerecalculated;Sensitivity,specificity,andaccuracyofPUSCindifferentiatingbenignandmalignantwerecalculated;(3)Thirty.sixpatientswithhilarobstructionwhounderwentbaselineultrasound,percutaneo吣ultrasoniccholangiography(PUSC)andper
4、cutaneoustranshepaticcholangiography(PTC)respectivelyandwereworkedupashilarcholangiocarcincomabyoperativefindingsorclinictestswereruledinthisstudy.Takingoperativefindingsasreferencestandard,theaccuracyofthethreeimagingmodalitiesinstagingofhilarcholangiocarcinomawasc
5、ompared.TheconcordancebetweenPUSCandPTCWasalsoevaluated·ThettestandChi.squaretestwereappliedfortestingthedifferencebetweenanyoftwogroups(a-0.05.two—side).Results(1)Withtheincreasingofconcentration,thepostacousticshadowofSonoVuebecomemoreobvious,butdurationtimechange
6、salittle;hyperechogeneticsurfacelinecouldbereenhancedbyonlyreinjectingofNSifnecessary;TheconcordancebetweenPUSCandPTCindepictingbileductWasveryexcellent.(2)Therewereobstructionin74casesandnoobstructionin8casesconfirmedbysurgeryorclinicaldiagnosis.Thesensitivity,spec
7、ificity,andaccuracyofPUSCinevaluatingobstructivelevelw笛98.6%(73/74),87.5%(7/8)和97.6%(80/82),respectively.Thesensitivity,specificity,andaccuracyofPTCinevaluatingobstructivelevelwas100%(73/73),88.9%(8/9)和98·8%(81/82),respectively.Thedifferencebetweenthemwasnotstatisti
8、callysignificant·TheconcordancebetweenPUSCandPTCinevaluatingthedegreeofhilarandextrahepaticobstructionwaslower(Kappavalue=0.387)andexcelle
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