摘要
目的：经Ｔ管注水前后超声对胆道术后病人的残石检出率，并与Ｔ管Ｘ线造影对比；方法：２００例胆总管切开取石Ｔ管留置病人，术后第１０～３０ｄ之间检查，先常规禁食空腹检查肝脏、胆道、胰腺等，然后经Ｔ管缓慢注入生理盐水５０～１５０ｍｌ，适当垫高臀部；结果：２００例病人中常规超声发现残余结石５３例（２６．５％）；经Ｔ管注水发现８８例（４４％），Ｔ管Ｘ线造影发现６４例（３２％）；结论：经Ｔ管注水，明显高于常规超声的残石诊断率。
Objective:To investigate sensitivity of ultrasonography before and after injection normal saline through T tube and sensitivity of T tube roentgeongraphy indetecting residual stone after operation of biliary duct.Method:After 10 to 30 days of choledocholithomy,ultrasonography was required to examine 200 fasting patients′ liver biliary tract and pancrea before and after injection 50～150ml Normal Saline through T tube.Results:Residual stone was detected in 53 amony 200 patients(sensitivity:26.5%)by general ultrasonography,in 88 patients by ultrasonography after injection water through T tube(sensitivity:44%),in 64 cases by T tube roentgenography(sensitivity:32%).Conclusion:sensitivity of ultrasonography after injection Normal Saline through T tube was significantly higher than that of general ultrasonography and also higher than that of t-tube roentgenography in detectiny residual stone ,ultrasonography after injection water is very useful in detecting residual stone and different diagnosis of intra and extra hepatic pneumatosis.
出处
《河北医学》
CAS
1999年第1期53-55,共3页
Hebei Medicine
关键词
T管注水
术后
残余结石
超声波诊断
肝结石
Injection Normal Saline through T tube
Ultrasongraphy
After operation of biliary duct
Residual stone
