论文部分内容阅读
目的:探究在梗阻性黄疸的诊断中64排螺旋CT的应用价值。方法:选择我院在2013年9月至2015年9月期间收治的梗阻性黄疸患者62例作为研究对象,所有患者均采用64排螺旋CT进行扫描,对其诊断资料进行回顾性分析,对比内镜逆行胰胆管造影及手术病理结果,分析其诊断情况。结果:39例患者为良性梗阻病变,其中包括32例胆道结石,6例为炎性病变,1例为先天性胆管囊肿;23例患者为恶性梗阻病变,其中包括12例胆管癌,6例胰头癌,2例壶腹癌,2例胆囊癌,1例肝癌侵犯肝门区胆管。诊断准确率为100.00%,而定性准确率为96.77%。结论:在梗阻性黄疸中应用64排螺旋CT进行诊断价值较高,值得在临床诊断中应用推广。
Objective: To explore the value of 64-slice spiral CT in the diagnosis of obstructive jaundice. Methods: Sixty-two patients with obstructive jaundice admitted to our hospital from September 2013 to September 2015 were selected as the study subjects. All patients were scanned by 64-slice spiral CT, and their diagnostic data were retrospectively analyzed. Mirror retrograde cholangiopancreatography and pathological findings, analysis of its diagnosis. RESULTS: Thirty-nine patients had benign obstructive lesions, including 32 biliary stones, 6 inflammatory lesions and 1 congenital choledochal cyst. Twenty-three patients had malignant obstructive lesions, including 12 cholangiocarcinoma, 6 pancreatic duct Head cancer, 2 cases of ampullary carcinoma, 2 cases of gallbladder cancer, 1 case of liver cancer invading hilar cholangiocarcinoma. The diagnostic accuracy was 100.00%, while the qualitative accuracy rate was 96.77%. Conclusion: The application of 64-slice spiral CT in obstructive jaundice is of great value in diagnosis and is worth popularizing in clinical diagnosis.