内科2024，Vol.19Issue(4)：397-401,5.DOI:10.16121/j.cnki.cn45-1347/r.2024.04.09
超声内镜和腹部超声诊断胆管结石的效能对比
Comparison of the efficacy between endoscopic ultrasonography and abdominal ultrasound in the diagnosis of calculi of bile duct
吴凤娟 1陈静 1赵亚楠 1刘娜 1张雅菲 1王东芳1
作者信息
- 1. 河南省郑州市第一人民医院消化内科,郑州市 450000
- 折叠
摘要
Abstract
Objective To compare the efficacy between endoscopic ultrasound and abdominal ultrasound in the diagnosis of calculi of bile duct.Methods The clinical data of 30 patients with suspected calculi of bile duct were retrospectively analyzed,and all patients underwent endoscopic ultrasound,abdominal ultrasound,and endoscopic retrograde cholangiopancreatography/endoscopic duodenal papillary sphincterotomy.With the endoscopic retrograde cholangiopancreatography/endoscopic duodenal papillary sphincterotomy as the gold standard in the diagnosis of calculi of bile duct,the efficacy between endoscopic ultrasonography and abdominal ultrasound in the diagnosis of calculi of bile duct was compared.Results The accuracy of endoscopic ultrasound in the diagnosis of calculi of bile duct was higher than that of abdominal ultrasound(P＜0.05).The results of endoscopic ultrasound in the diagnosis of calculi of bile duct were associated with those of the gold standard(P＜0.05),while the results of abdominal ultrasound were not(P＞0.05).There was no statistically significant difference in the positive result between the gold standard and endoscopic ultrasound or between the gold standard and abdominal ultrasound in the diagnosis of calculi of bile duct(all P＞0.05).The results of endoscopic ultrasound in the diagnosis of calculi in different parts(at the end of the common bile duct,above the common bile duct,and at the middle and lower part of the common bile duct)and in different sizes(diameter ≤0.5 cm,0.5-1.0 cm,and＞1.0 cm)were associated with those of the gold standard(all P＜0.05),while the results of abdominal ultrasound were not(all P＞0.05).Conclusion Endoscopic ultrasound has higher diagnosis efficacy for calculi of bile duct than abdominal ultrasound,and its diagnostic results of calculi of bile duct in different parts and sizes are associated with the gold standards',which has a certain guiding value for clinical treatment.关键词
胆管结石/超声内镜/腹部超声/诊断Key words
Calculus of bile duct/Endoscopic ultrasound/Abdominal ultrasound/Diagnosis分类
医药卫生引用本文复制引用
吴凤娟,陈静,赵亚楠,刘娜,张雅菲,王东芳..超声内镜和腹部超声诊断胆管结石的效能对比[J].内科,2024,19(4):397-401,5.
