胃肠超声助显剂在超声诊断胆总管中下段病变中的诊断效果  

The diagnostic eff ect of gastrointestinal ultrasound contrast agents in ultrasound diagnosis of middle and lower common bile duct lesions

作　　者：李红 罗皓严 陈梦楠 Li Hong;Luo Haoyan;Chen Mengnan(Electronic Diagnosis Department of Jilin Chemical Industry Hospital,Jilin Jilin 132022,China;School of Radiology,Shandong First Medical University,Shandong Jinan 271000,China;Electronic Diagnosis Department of Changchun Children’s Hospital,Jilin Changchun 130000,China)

机构地区：[1]吉林市化工医院电诊科,吉林吉林132022 [2]山东第一医科大学放射学院,山东济南271000 [3]长春市儿童医院电诊科,吉林长春130000

出　　处：《临床普外科电子杂志》2025年第1期60-63,84,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的 探讨胃肠超声助显剂在超声诊断胆总管中下段病变中的诊断效果。方法 回顾性分析吉林市化工医院2021年1月至2024年1月收治的80例疑似胆总管中下段病变患者的临床资料,所有患者均接受单纯超声诊断和胃肠超声助显剂超声诊断,以临床综合检查结果和病理诊断结果为金标准,对比不同方法的诊断结果。结果 80例疑似胆总管中下段病变患者中,以临床综合检查结果和病理诊断为金标准,胆总管中下段病变67例,其中胆总管中下段肿瘤40例,胆总管中下段结石19例,十二指肠壶腹肿瘤8例;肝内胆管结石6例;胰腺炎3例;胆管癌1例;肝内外胆管扩张3例。胃肠超声助显剂超声诊断较单纯超声诊断阳性检出率较高,敏感度、准确性高,疾病诊断检出率高,差异均有显著性(P <0.05)。结论 在超声诊断胆总管中下段病变中,采用胃肠超声助显剂可提高临床诊断准确率,明确疾病类型,为临床提供准确的参考。Objective To explore the diagnostic eff ect of gastrointestinal ultrasound contrast agents in the ultra-sound diagnosis of middle and lower common bile duct lesions.Method A retrospective analysis was conducted on the clinical data of 80 patients with suspected middle and lower common bile duct lesions admitted to Jilin Chemi-cal Industry Hospital from January 2021 to January 2024.All patients received simple ultrasound diagnosis and gas-trointestinal ultrasound assisted ultrasound diagnosis.The clinical comprehensive examination results and patholog-ical diagnosis results were used as the gold standard to compare the diagnostic results of diff erent methods.Result Among the 80 suspected patients with lesions in the middle and lower segments of the common bile duct,based on clinical comprehensive examination results and pathological diagnosis as the gold standard,there were 67 cases of lesions in the middle and lower segments of the common bile duct,including 40 cases of tumors in the middle and lower segments of the common bile duct,19 cases of stones in the middle and lower segments of the common bile duct,and 8 cases of tumors in the duodenal ampulla;6 cases of intrahepatic bile duct stones;3 cases of pancreatitis;1 case of cholangiocarcinoma;Three cases of intrahepatic and extrahepatic bile duct dilation.Gastrointestinal ul-trasound contrast agents have a higher positive detection rate,sensitivity,accuracy,and disease diagnosis detection rate compared to simple ultrasound diagnosis,with signifi cant diff erences(P<0.05).Conclusion In the ultrasound diagnosis of middle and lower common bile duct lesions,the use of gastrointestinal ultrasound contrast agents can improve clinical diagnostic accuracy,clarify disease types,and provide accurate references for clinical practice.

关 键 词：胃肠超声助显剂 超声诊断 胆总管 中下段 诊断效果 

分 类 号：R65[医药卫生—外科学]