赵逸,王萍,陈述.梗阻性黄疸的影像学诊断及选择[J].中国医学影像技术,2000,16(3):0170~171
梗阻性黄疸的影像学诊断及选择
Comparative Diagnosis of Obstructive Jaundice by Imagine Technology
投稿时间:1999-11-30  
DOI:
中文关键词:  超声  梗阻性黄疸  内镜逆行胰胆管造影
英文关键词:US  Obstructive jaundice  ERCP
基金项目:
作者单位
赵逸 首都医科大学宣武医院超声波室,北京100053 
王萍 首都医科大学宣武医院超声波室,北京100053 
陈述 首都医科大学宣武医院超声波室,北京100053 
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中文摘要:
      目的 探讨US ,CT ,ERCP ,MRCP 对梗阻性黄疸的诊断价值。方法 109 例病人经手术或病理证实为 梗阻性黄疸作为对象,对其US ,CT ,ERCP ,MRCP 检查结果做回顾性分析。结果 US ,CT ,ERCP ,和MRCP 的总诊 断率分别为68180 %(75/ 109) ,76115 %(83/ 109) ,9610 %(48/ 50) ,100 %(15/ 15) 。不同的诊断方法对不同的疾病敏 感度不同。联合应用不同的诊断方法能改善诊断的敏感度。结论 影像学诊断对梗阻性黄疸的定性及定位起着决 定性的作用,US 应当做为首选方法,联合应用不同的影像学技术可以显著提高诊断率。
英文摘要:
      Objective To evaluate the efficiency of imagine diagnosis of obstructive jaundice by US , CT , ERCP , and MRCP. Methods Total 109 cases were studied , who were diagnosed pathologily or postopratively. The date from all the cases , including US , CT , ERCP , and MRCP were analyzed respectively. Results The total correct diagnosis rates were 68180 %(75/ 109) ,76. 15 %(83/ 109) ,96. 0 %(48/ 50) , and 100 %(15/ 15) for US , CT , ERCP , and MRCP respectively. Different technology had different sensitivity for different obstructive jaundice. Combined means can improve the diagnostic efficiency greatly. Conclusion Based on the study and similar research , it is confirmed that imagine technology play a decisive role in the quantity and position diagnosis of obstructive jaundice. One had better use US as the first choice for the diagnosis , because of its simplicity , economy , safety and reliability , and should use comprehensive method to clarify the diagnosis when the situation is confused.
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