中国中西医结合外科杂志2017，Vol.23Issue(6)：610-613,4.DOI:10.3969/j.issn.1007-6948.2017.06.008
超声内镜诊断胆总管小结石的临床研究
Clinical Study on Endoscopic Ultrasonography in Diagnosis of Common Bile Duct Microilth
李焕喜 1王震宇 1张莉 1李伟志1
作者信息
- 1. 天津市南开医院内镜中心,天津300100
- 折叠
摘要
Abstract
Objective To determine the diagnostic rate and clinical value of endoscopic ultrasonography (EUS) in patients with choledocholithiasis.Methods Patients with choledocholithiasis who underwent EUS (159 cases) were retrospectively reviewed.All patients were considered as choledocholithiasis by clinical history and signs,but no stones were found in imaging examinations.The patients with choledocholithiasis diagnosed by EUS were treated with ERCP,and ERCP losers were treated with surgery.If EUS found no stones in common bile duct,no ERCP was performed,but the follow-up was continued for at least three months.Results In 159 patients,96 patients were found common bile duct stone,by EUS,among which 89 cases were successfully removed stone with ERCP,one case was removed stones by surgery,one case sgowed natural stone discharge and five cases showed false positive stones in common bile duct.For those 63 patients without evidence of choledocholithiasis by EUS,no false-negative case was noted during the there-month follow-up period.No operation related complications occurred.The accuracy,sensitivity,specificity,positive and negative predicted values of EUS for the detection of choledocholithiasis were 96.8％,100％,92.6％,94.8％ and 100％,respectively.Conclusion EUS is an accurate and safe diagnostic tool for the detection of choledocholithiasis.关键词
超声内镜检查术/胆总管小结石/诊断价值Key words
Endoscopic ultrasonography/choledocholithiasis/diagnostic value分类
医药卫生引用本文复制引用
李焕喜,王震宇,张莉,李伟志..超声内镜诊断胆总管小结石的临床研究[J].中国中西医结合外科杂志,2017,23(6):610-613,4.
