胆管灌洗在超声胆管造影中的应用价值  

Effects of biliary lavage in intra-biliary contrast-enhanced ultrasound

作　　者：陈列[1] 田超[1] 张植兰 朱才义[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院超声医学科,海南海口570208

出　　处：《海南医学》2017年第18期3010-3012,共3页Hainan Medical Journal

摘　　要：目的进一步完善超声胆管造影(B-CEUS)的操作步骤,探讨胆管灌洗在超声胆管造影中的应用价值。方法选取2016年4月至2017年4月于中南大学湘雅医学院附属海口医院超声医学科接受IB-CEUS的21例肝门部梗阻患者,先不经胆道灌洗步骤注入超声造影剂(UCA)进行胆管造影,待UCA效果消退后经引流导管灌洗肝内胆管系统,再行胆管造影。比较患者灌洗前和灌洗后肝内1级和3级胆管(肝段胆管)的即刻显影率。结果胆管灌洗前,患者1级胆管1例显示不满意,20例显示满意,胆管灌洗后,21例患者1级胆管均显示满意,灌洗前后1级胆管即刻显示率比较,差异无统计学意义(P>0.05);胆管灌洗前,患者3级胆管6例显示不满意,15例显示满意,灌洗后,1例显示不满意,20例显示满意,灌洗前后3级胆管即刻显示率比较,差异有统计学意义(P<0.05)。结论在进行IB-CEUS前加入胆管灌洗这个步骤可以提高IB-CEUS中3级胆管的显示率,从而有望更精确的诊断胆管疾病。Objective To further improve and standardize the operation of intra-biliary contrast-enhanced ultrasound（IB-CEUS） and evaluate the application value of biliary lavage in IB-CEUS. Methods Twenty-one patients of hepatic portal obstruction undergoing IB-CEUS in Central South University Xiangya School of Medicine Affiliated Haikou School from April 2016 to April 2017 were enrolled in the study. We first performed IB-CEUS with ultrasound contrast agent（UCA） without the biliary lavage process, then after the effect of UCA receded, lavage the intrahepatic bile duct system through drainage catheter, and performed IB-CEUS again. The immediate display rates of the intrahepatic stage 1and 3 bile duct（hepatobiliary duct） were compared before and after the biliary lavage. Results Before the biliary lavage,20 patients were satisfied for stage 1 bile duct and 1 was unsatisfied, versus 21 were satisfied and 0 was unsatisfied after the biliary lavage（P〉0.05）. Before the biliary lavage, 15 patients were satisfied for stage 3 bile duct and 6 were unsatisfied, compared with 20 were satisfied and 1 was unsatisfied after the biliary lavage（P〈0.05）. Conclusion The addition of the biliary lavage process before IB-CEUS can improve the immediate display rate of stage 3 bile ducts in IB-CEUS,which could lead to more accurate diagnosis of bile duct disease.

关 键 词：胆管灌洗 超声胆管造影 胆管 

分 类 号：R445.1[医药卫生—影像医学与核医学]