超声检查用于梗阻性黄疸诊断价值分析

目的：探讨分析超声检查用于梗阻性黄疸诊断的临床价值。方法：选取2000年6月至2011年6月于我院行超声检查的梗阻性黄疸患者80例,将患者超声检查结果与手术病理检查结果进行统计学分析。结果：80例患者经手术病理诊断肝内梗阻性黄疸28例,肝外阻塞性黄疸52例,超声检查结果诊断肝内梗阻性黄疸直接诊断21例,间接诊断6例,诊断不明1例,诊断准确率96.43%,肝外梗阻性黄疸直接诊断44例,间接诊断5例,诊断不明3例,诊断准确率94.23%。超声诊断准确76例,诊断不明4例,准确率95.00%,与手术病理检查结果经统计学分析,P〉0.05,差异无统计学意义。结论：超声检查对梗阻性黄疸诊断具有微创、操作简单、安全、可重复性强、检查费用低等优点,对黄疸性质、部位、鉴别等判断具有较高特异性和准确性。

Diagnostic Value of Ultrasound Examination for Obstructive Jaundice

Objective： To explore the clinical value of ultrasonography for the diagnosis of obstructive jaundice.Method： From June 2000 to June 2011,80 cases of patients with obstructive jaundice in our hospital,the ultrasound findings in patients with surgical and pathological findings were analyzed statistically.Result： In all 80 patients diagnosed by surgery and pathology,intrahepatic obstructive jaundice was 28 cases,52 cases of extrahepatic obstructive jaundice,21 cases obstructive jaundice directly diagnosed,6 cases of indirect diagnosis.The accuracy rate of 96.43%,extrahepatic obstructive jaundice directly diagnosis of 44 cases,indirect diagnosis of five cases,diagnosis of unknown three cases,the diagnostic accuracy rate of 94.23%.The ultrasound diagnostic accuracy of 76 cases,four cases the diagnosis of unknown accuracy rate of 95.00%,with surgical and pathological findings,statistical analysis,P 0.05,the difference was not statistically significant.Conclusion： Ultrasound diagnosis for obstructive jaundice is with minimally invasive,simple to operate,safe,repeatable,with low inspection fees,with higher specificity and accuracy on the jaundice type,location,identification judgment.