摘要
目的:通过超声评价胆囊切除术后扩张的胆总管形态及程度,判断胆总管下段是否存在梗阻。方法:对281例胆囊切除术后胆总管扩张患者超声声像图进行回顾性研究,总结扩张的胆总管形态及程度与胆总管下段梗阻的相关性。结果:胆囊切除术后胆总管呈"棒形"组胆总管下段梗阻比例较胆总管呈"鼠尾形"组及"纺锤形"组明显高(P﹤0.01),胆总管呈"鼠尾形"组较胆总管呈"纺锤形"组明显高(P﹤0.05)。胆总管扩张的程度越明显胆总管下段梗阻比例越高(P﹤0.01)。结论:超声评价胆囊切除术后扩张的胆总管形态及程度对判断胆总管下段是否存在梗阻具有重要参考价值。
Objective To evaluate the form and degree of choledochectasia with ultrasound,so as to diagnose whether the inferior segment of common bile duct is obstructed or not. Methods The ultrasonic data of 281 patients with choledochectasia after cholecystectomy were retrospectively analyzed,and then the correlation between the form and degree of choledochectasia and the obstruction of choledochus inferior segment were analyzed. Results The ratio of choledochus inferior segment obstruction in the club shape group was obviously higher than those in the mouse-tail shape group and the fusiform group( P ﹤ 0. 01). The ratio of choledochus inferior segment obstruction in the mouse-tail shape group was significantly higher than that in the fusiform group( P ﹤ 0. 05). The higher the degree of choledochectasia was,the higher ratio of the choledochus inferior segment obstruction was( P ﹤ 0. 01). Conclusion The form and degree of choledochectasia evaluated by ultrasound is helpful for diagnosis of choledochus inferior segment obstruction.
出处
《湖北医药学院学报》
CAS
2013年第6期489-491,498,共4页
Journal of Hubei University of Medicine
关键词
超声
胆囊切除术
术后
胆总管扩张
梗阻
Ultrasound
Cholecystectomy
Postoperative
Choledochectasia
Obstruction
