论文部分内容阅读
目的：探讨ＥＲＣＰ、Ｂ型超声检查及ＣＴ对临床拟诊梗阻性黄疸患者的诊断价值。方法：６８ 例临床拟诊梗阻性黄疸患者接受了ＥＲＣＰ、Ｂ型超声检查及ＣＴ检查， 比较三者的定位和定性能力。结果： 肝外梗阻性黄疸６３ 例（恶性胆道梗阻３９ 例， 良性胆道梗阻２４ 例）， 非肝外梗阻性黄疸５ 例。ＥＲＣＰ的定位诊断为９１．２％ ， 与Ｂ型超声检查（６１．８％ ）、ＣＴ（６９．１％ ）比较有显著性统计学差异（Ｐ＜ ０．０１）。定性诊断率ＥＲＣＰ为８８．２％ 、Ｂ型超声检查为５０％ 、ＣＴ为６４．７％ ， 三者比较亦有显著统计学差异（Ｐ＜ ０．０１）。结论： ＥＲＣＰ对梗阻性黄疸患者的定位和定性准确性明显优于Ｂ型超声检查和ＣＴ。
Objective: To investigate the diagnostic value of ERCP, B-mode ultrasonography and CT in diagnosing patients with obstructive jaundice. Methods: Sixty-eight patients with clinically diagnosed obstructive jaundice underwent ERCP, B-mode ultrasonography and CT examinations to compare the localization and qualitative performance of the three. Results: 63 cases of extrahepatic obstructive jaundice (malignant biliary obstruction in 39 cases, benign biliary obstruction in 24 cases), non-extrahepatic obstructive jaundice in 5 cases. The localization of ERCP was 91.2%, which was significantly different from that of type B ultrasound (61.8%) and CT (69.1%) (P <0.01). The diagnostic accuracy rate of ERCP was 88.2%, type B ultrasound was 50% and CT was 64.7%. There was also a significant difference between the three (P <0.01). Conclusion: The accuracy and accuracy of ERCP in patients with obstructive jaundice is better than that of type B ultrasound and CT.