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超声与CT诊断恶性肿瘤致阻塞性黄疸的价值
引用本文:周建华,操隆辉,陈孝岳,曾辉,王悦,熊永红,胡建明.超声与CT诊断恶性肿瘤致阻塞性黄疸的价值[J].中国超声医学杂志,2003,19(10):763-765.
作者姓名:周建华  操隆辉  陈孝岳  曾辉  王悦  熊永红  胡建明
作者单位:510060,广州市,中山大学肿瘤医院超声科
摘    要:目的:比较超声与CT对恶性肿瘤致阻塞性黄疸的诊断价值。方法:回顾性分析和总结78例恶性肿瘤致阻塞性黄疸的超声和CT表现,并与手术病理结果对照。结果:超声与CT诊断恶性肿瘤致阻塞性黄疸的敏感性分别为97.4%和98.7%;对梗阻水平判断的准确率分别为96.2%和91%;对肿瘤的检出率分别为72.4%和43.4%;对检出肿瘤定位的准确率分别为78.2%和87.9%。结论:超声对大多数恶性肿瘤致阻塞性黄疸的诊断价值优于CT。

关 键 词:恶性肿瘤  阻塞性黄疸  影像学诊断  超声检查  CT表现  肿瘤转移
修稿时间:2003年3月24日

Diagnostic Value of Ultrasonography and Computed Tomography in Obstructive Jaundice Caused by Malignant Tumors
Zhou Jianhua,Cao Longhui,Chen Xiaoyue,et al.Diagnostic Value of Ultrasonography and Computed Tomography in Obstructive Jaundice Caused by Malignant Tumors[J].Chinese Journal of Ultrasound in Medicine,2003,19(10):763-765.
Authors:Zhou Jianhua  Cao Longhui  Chen Xiaoyue  
Institution:Zhou Jianhua,Cao Longhui,Chen Xiaoyue,et al Department of Ultrasound,Caner Center,Sun Yatsen University,Guangzhou 510060 China
Abstract:Objective:To compar e the diagnostic value of ultrasonography and computed tomography(CT) in obstructi ve jaundice caused by malignant tumors Methods:Retrospective analysis was performed in 78 patien ts with obstructive jaundice caused by malignant tumors and compared ultrasonogr aphy and CT with surgery and pathology Results:The sensit ivity of ultrasonography and CT in the diagnosis of obstructive jaundice was 97 4% and 98 7%,respectively The diagnostic accuracy of ultrasound in defining the level of obstruction was 96 2% as compared to 91% for CT The rate of ultra sound and CT in detecting the tumors was 72 4% and 43 4%,respectively For l ocating the detected tumors,the accuracy of ultrasound and CT was 78 2% and 87 9%,respectively Conclusions:Ultrasonography is superior to CT in the diagnosis of the majority of patients with obstructive jaundice ca used by malignant tumors
Keywords:Obstructive jaundice  Ultrasonography  Neoplasm
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