经皮肝穿刺胆道造影(PTC)在老年人梗阻性黄疸病因诊断的应用  

APPLICATION EXPERIENCE OF PTC IN THE DIAGNOSIS OF ELDERLY OBSTRUCTIVE JAUNDICE

作　　者：卢再鸣[1] 单明[1] 张军[1] 温锋[1] 刘兆玉[1] 郭启勇[1] 

机构地区：[1]中国医科大学附属盛京医院放射科,沈阳110004

出　　处：《现代预防医学》2011年第9期1728-1729,共2页Modern Preventive Medicine

基　　金：辽宁省教育厅创新团队课题(2007T182)

摘　　要：[目的]探讨经皮肝穿刺胆道造影(percutaneous transhepatic cholangiography,PTC)在老年人梗阻性黄疸病因诊断的应用价值。[方法]选择2005年7月～2010年8月住院治疗的梗阻性黄疸患者97例作为研究对象,均经病理检查证实,术前均行B超、CT及PTC检查,比较3种方法的诊断符合率。[结果]97例老年人梗阻性黄疸患者的病因诊断中,PTC诊断的总体符合率为90.7%,显著高于B超(75.3%)和CT(80.4%)诊断的总体符合率,差异有统计学意义(P﹤0.05),B超和CT之间比较,差异无统计学意义(P﹥0.05)。[结论]PTC对梗阻性黄疸的病因诊断具有相当重要的应用价值,尤其是基层医院,术前行此项检查非常必要。[Objective]To investigate the application value of percutaneous transhepatic cholangiography（PTC） in the diagnosis of elderly obstructive jaundice.[Methods]Took 97 cases of obstructive jaundice who were treated in our hospital from July 2005 to August 2010 as the research subjects,they were all checked by B-mode ultrasound,CT and PTC before sugery and confirmed by pathological examination and then the accuracy rates of diagnosis were compared.[Results]In the diagnosis of reasons caused obstructive jaundice in 97 cases,the accuracy rate of PTC was 90.7% which was significantly higher than that of B-mode ultrasound（75.3%） and CT（80.4%） ,the difference was statistically significant（P﹤0.05） ,but the difference between B-mode ultrasound and CT was not statistically significant（P﹥0.05） .[Conclusion]PTC is clinically a very valuable method for the diagnosis of obstructive jaundice.It is very necessary to make PTC before surgery in basic hospitals.

关 键 词：经皮肝穿刺胆道造影术 梗阻性黄疸 病因诊断 

分 类 号：R442.4[医药卫生—诊断学]