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ID:58302022
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时间:2020-05-12
《胆道联合静脉超声造影在恶性梗阻性黄疸中的价值.pdf》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、966实用医学杂志2015年第31卷第6期胆道联合静脉超声造影在恶性梗阻性黄疸中的价值王峰徐琳刘仁民司芩摘要目的:评价胆道联合静脉超声造影检查在恶性梗阻性黄疸治疗中的临床价值。方法:43例患者经增强cT或MRI诊断为恶性梗阻性黄疸.在手术前行经皮经肝胆管穿刺置管,并予以常规超声、静脉超声造影和胆道超声造影检查。以手术结果为金标准,分析常规超声、静脉超声造影、胆道超声造影、胆道联合静脉超声造影对恶性梗阻性黄疸的诊断符合率。结果:43例患者中,常规超声、静脉超声造影、胆道超声造影、胆道联合静脉超声造影的诊断符合率分别为72.1%(31
2、/43)、83.7%(36/43)、81.4%(35/43)及93.O%(40/43)。其中胆道联合静脉超声造影的诊断符合率明显优于常规超声(P=0.021),而单独的静脉或胆道超声造影与常规超声之间的差异无统计学意义(P=0.194和0.307)。结论:胆道联合静脉超声造影可全面评估梗阻部位胆管的腔内和腔外的情况,提高超声对恶性梗阻性黄疸诊断符合率,有效判断手术的可切除性.具有较好的临床价值关键词恶性梗阻性黄疸:超声造影:鉴别诊断Thediagnosticvalueofcontrast-enhancedultrasonicint
3、ravenousimagingandchOlangi0graphyindiagnosisofmalignantobstructivejaundiceWANG,XULin,LIURen—min,SIQin.DepartmentofGenerdSurgery,JingduHospital,Nanjing210002,China【Abstract】ObjectiveToexplorethediagnosticvalueofcontrast—enhancedultrasonicintravenousimagingandcholangi0g
4、raphyinthediagnosisofmalignantjaundieeobstructive.MethodsFortythreepatientswhowerediagnosedwithmalignantobstructivejaundicebycontrast—enhancedcomputedtomographyandcontrast—enhancedcomputedmagneticresonanceimagingwereenrolledinthisstudy.Allofthemunderwentconventionalul
5、trasound,IV—CEUSandIC—CEUS.Accordingtotheresuhsofoperation,thediagnosisaccuracieswerecomparedamongconventionalultrasound,IV—CEUS,IC—CEUSandIV—CEUScombinedwithIC—CEUS.ResultsDiagnosticaccuracybytheconventionalultrasound,IV—CEUS,IC·CEUSandIV—CEUScombinedwithIC—CEUSwere7
6、2.1%(31/43),83.7%(36/43),81.4%(35/43)and93.0%(40/43),respectively.IV—CEUScombinedwithIC—CEUSwassuperiortotheconventionalultrasound(P=0.021).TherewerenosignificantdifferenceswhentheconventionalultrasoundwascomparedwithIV—CEUSorIC—CEUSalone(P=0.194andO.307).ConclusionsP
7、reoperativeevaluationbyIV—·CEUScombinedwithIC·-CEUScanelaboratetheintra-·cavitaryandextra—cavitarychangesofmalignantobstructivejaundice.ThediagnosticaccuracyratecouldbeeffectivelyimprovedbyIV—CEUScombinedwithIC—CEUS,whichcanbringfavorableclinicalbenefit.【Keywords】Mali
8、gnantobstructivejaundice;Contrast—enhancedultrasound;Differentiatingdiagnosis恶性梗阻性黄疸常由胆道原发肿瘤或转移性黄疸的疗效具有重要临床意义E21。静脉超声造影肿瘤浸润压
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