肝内胆管结石的CT征象及与B超诊断比较  

A Comparison between Computerized Tomography and B Mode Uitrasonography in Diagnosing Intrahepatic Cholangiolithiasis

作　　者：杨朝晖[1] 王义辉[1] 杨洁[1] 

机构地区：[1]重庆市天府矿务局总医院,400704

出　　处：《中国全科医学》2006年第4期329-330,共2页Chinese General Practice

摘　　要：目的探讨肝内胆管结石的CT征象及诊断价值。方法分析65例肝内胆管结石的CT征象,并与B超对照。结果(1)CT诊断肝内胆管结石的准确率达98.5%,与B超比较,差别有显著性意义(P<0.05);(2)CT可准确显示和诊断其合并症。结论CT是诊断肝内胆管结石的有效手段,其诊断准确性优于B超,尤其是对其合并症的诊断。Objective To study the diagnostic accuracy of computerized tomography （CT） for intrahepatic cholangiolithiasis and to evaluate its value. Methods The CT findings of 65 cases of intrahepatic cholangiolithiasis were retrospectively analyzed, and the diagnostic efficiency of CT was compared with that of B mode ultrasonography. Results （ 1 ） The correct diagnostic rate of CT for intraheptic cholangiolithiasis was 98. 8%, and compared with that of B mode uhrasonography, there was significant difference （ P 〈 0. 05 ）, （2） CT could correctly demonstrate and diagnose the complications of intrahepatic cholangiolithiasis. Conclusion CT is a more efficient procedure than B mode ultrasonography in the diagnosis of intraheptic cholangiolithiais especially in the demonstration of the complications of the disease.

关 键 词：肝内胆管结石 体层摄影术 螺旋计算机 B型超声 诊断 

分 类 号：R657.42[医药卫生—外科学]