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目的分析临床应用B型超声检查诊断胆石症的价值。方法选择该院2014年3月-2015年9月收治的胆石症患者91例,诊断时均应用B型超声检查,观察B型超声检查的诊断检出率。结果经B型超声检查可知,胆囊长径(7.3±0.9)cm,胆壁厚度(2.5±0.4)cm,检出胆囊结石直径(0.8±0.4)cm。胆总管内径(1.5±0.3)cm,检出胆总管结石直径(0.4±0.2)cm。91例胆石症患者中,B型超声检出诊断82例,检出率90.1%。其中,胆囊结石诊断检出率94.6%(35/37),胆管结石诊断检出率88.2%(30/34),多部位结石诊断检出率85.0%(17/20)。结论临床诊断胆石症时,B型超声诊断具有较高的诊断检出率,临床应用价值较高。
Objective To analyze the clinical value of B-mode ultrasonography in the diagnosis of cholelithiasis. Methods Ninety-one patients with cholelithiasis who were admitted to our hospital from March 2014 to September 2015 were diagnosed with B-mode ultrasonography. The diagnostic rate of B-mode ultrasound was observed. Results The B type ultrasonography showed that the diameter of gallbladder was (7.3 ± 0.9) cm and the thickness of gallbladder wall was (2.5 ± 0.4) cm. The diameter of gallbladder was (0.8 ± 0.4) cm. The common bile duct diameter (1.5 ± 0.3) cm, the common bile duct stone diameter (0.4 ± 0.2) cm. In 91 cases of cholelithiasis, 82 cases were diagnosed by B-mode ultrasound, the detection rate was 90.1%. Among them, the diagnosis rate of gallstone was 94.6% (35/37), the diagnosis rate of bile duct stones was 88.2% (30/34), and the detection rate of multi-site stones was 85.0% (17/20). Conclusion In the clinical diagnosis of cholelithiasis, B-mode ultrasound has a high diagnostic rate and high clinical value.