超声与直接胆管造影对胆管内外癌肿的诊断  

Diagnosis Analysis of Obstruction Jaundice by Ultrasound and Direct Bile Duct Contrast

作　　者：陆东卫[1] 姜小龙[1] 李坚[2] 

机构地区：[1]黑龙江省医院,黑龙江哈尔滨150036 [2]深圳市中心医院,广东深圳518000

出　　处：《黑龙江医学》2003年第7期484-486,共3页Heilongjiang Medical Journal

摘　　要：目的　探讨B超和直接胆管造影对胆管内外癌肿引起的梗阻性黄疸的诊断价值。方法　本组 6 2例胆管内外癌肿中 ,胆管癌 4 2例 ,胰腺癌 2 0例。所有病例首先应用B超检查 ,然后采用直接胆管造影分析。结果　B超定位诊断率为 82 2 8% ,定性为 5 8 6 % ,直接胆管造影定位诊断率为 1 0 0 % ,定性为 88 89%。结论　直接胆管造影操作复杂 ,有一定的危险性 ,但对癌肿侵犯胆管引起的梗阻诊断优于B超 。Objective To research malignant obstruction jaundice and analyze the diagnosis value of B ultrasound and direct bile duct contrast. Methods There were 62 cases in this group. 42 cases were bile duct cancer and 20 cases were pancreas cancer. All patients were detected by B ultrasound and then direct bile duct contrast. Results The orientation rate of B ultrasound was 82.28%, quantitative rate was 58.6%. The orientation rate of direct bile duct contrast was 100% and quantitative rate was 88.89%. Conclusion Diagnosis rate of US was under direct bile duct contrast. Direct bile duct contrast might have highly importance clinic significance to obstruction jaundice despite of complexity and risk.

关 键 词：临床诊断学 超声 直接胆管造影 胆管癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.4[医药卫生—诊断学]