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目的观察腹部超声对黄疸疾病诊断和鉴别的准确性。方法选择2013年4月—2015年11月期间在我院接受治疗的黄疸疾病患者47例作为研究对象,经腹部超声诊断鉴别,诊断结果计为观察组,再由病理学检查和临床手术诊断确诊黄疸病情,确诊结果计为对照组,比较观察组和对照组诊断结果差异。结果观察组检查胆管癌10例,胆囊癌8例,胆总管结石12例,壶腹癌17例,误诊2例;对照组胆管癌11例,胆囊癌8例,胆总管结石13例,壶腹癌15例,误诊0例。观察组将1例胆管癌和1例胆总管结石误诊为壶腹癌,误诊率4.25%。结论腹部超声诊断误诊率4.25%,其成本低廉,操作方便,检测速度快,适用于黄疸疾病的大规模筛查和临床鉴别诊断。
Objective To observe the accuracy of abdominal ultrasound in diagnosis and differential diagnosis of jaundice. Methods Forty-seven patients with jaundice who were treated in our hospital from April 2013 to November 2015 were selected as the study subjects and diagnosed by abdominal ultrasonography. The diagnosis was counted as observation group and then diagnosed by pathological examination and clinical operation Jaundice, confirmed the results as a control group, the difference between the observation group and the control group diagnostic results. Results The observation group included 10 cases of cholangiocarcinoma, 8 cases of gallbladder carcinoma, 12 cases of choledocholithiasis, 17 cases of ampulla carcinoma and 2 cases of misdiagnosis. In the control group, 11 cases of cholangiocarcinoma, 8 cases of gallbladder carcinoma, 13 cases of choledocholithiasis, 15 cases of cancer, misdiagnosis in 0 cases. One case of cholangiocarcinoma and one case of choledocholithiasis were misdiagnosed as ampullary carcinoma in the observation group, with a misdiagnosis rate of 4.25%. Conclusion Abdominal ultrasound diagnosis misdiagnosis rate of 4.25%, its low cost, easy operation, fast detection rate, suitable for large-scale screening jaundice disease and clinical differential diagnosis.