胆总管结石和残余结石的诊断。超声波postcholecystectomy]。

J M Segura, P Conthe, R Martín, P Mora, E Villeta
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引用次数: 0

摘要

我们对246例经手术证实的胆总管结石患者进行了研究,目的是建立超声扫描检测胆总管结石的准确性,并比较实时检查与静态扫描仪检查的敏感性。实时超声检查胆总管结石的检出率为45.6%,而静态扫描仪检查的检出率为26.3%。实时扫描检测到胆总管扩张的比例为83.6%,而静态扫描检测到胆总管扩张的比例为70.3%。当胆总管未扩张时,超声无法发现结石。实时超声对残余胆总管结石患者的检出率为66.6%,而静态扫描仪的检出率为23.5%。我们的结果表明,实时超声扫描是一种非常有用的筛查方法,用于检测胆总管结石和残余结石。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnosis of choledocholithiasis and residual lithiasis. Ultrasonic postcholecystectomy].

246 patients with proven common bile duct stones at surgery were studied in order to establish the accuracy of ultrasound scanning in detecting choledocholithiasis and to compare the sensitivity of real-time examinations with those performed by a static scanner. The detection of choledocholithiasis by real-time ultrasound was 45.6% compared to 26.3% for the examinations performed with a static scanner. A dilated common bile duct was detected in 83.6% using real-time scanning compared to 70.3% using a static scanner. When the common bile duct was not dilated ultrasound was unable to detect the stones. Real-time ultrasound detected 66.6% of the patients with residual choledocholithiasis compared to 23.5% of patients examined by a static scanner. Our results show that real-time ultrasound scanning is a very useful screening method in detecting choledocholithiasis and residual lithiasis.

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