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目的本文拟通过分析和总结胆道蛔虫症的声像图表现及其临床意义来提高对本病声像图的认识及诊断符合率。方法通过回顾性分析本院2003年4月~2006年5月之间超声诊断为胆道蛔虫症、临床最后确诊的39例病例资料,分析胆道蛔虫及其并发症在超声图像上的表现和临床意义。结果胆道蛔虫在超声图像上表现为条索样回声型13例(33.33%)、结石样回声型11例(28.21%)、混合性回声型15例(38.46%)。结论超声检查是临床诊断胆道蛔虫症的首选方法,胆道蛔虫症在超声图像上的表现复杂多样,正确认识胆道蛔虫症的声像特征,才能更好地发挥超声检查对本病的诊断价值。
Objective This paper intends to analyze and summarize the biliary ascariasis of the sonographic manifestations and clinical significance to improve the understanding of this disease and diagnostic accuracy of the echo rate. Methods By retrospective analysis of our hospital from April 2003 to May 2006 ultrasound diagnosis of biliary ascariasis in the final diagnosis of 39 cases of clinical data, analysis of biliary Ascaris and its complications in the performance of ultrasound images and clinical significance . Results In the ultrasound images, 13 cases (33.33%) showed cord-like echo, 11 (28.21%) had stone-like echo, and 15 (38.46%) had mixed echo. Conclusion Ultrasonography is the first choice for clinical diagnosis of biliary ascariasis. The manifestations of biliary ascariasis on ultrasound images are complex and diverse. To correctly understand the audiovisual characteristics of biliary ascariasis can the diagnostic value of ultrasonography be well demonstrated.