首页|肝硬化背景下肝尾叶乳头突漏诊、误诊分析及改进方法

肝硬化背景下肝尾叶乳头突漏诊、误诊分析及改进方法

Under the background of cirrhosis of the liver caudate lobe papillary process missed diagnosis and misdiagnosis analysis and improvement methods

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目的:通过肝硬化病人常规超声检查及胃肠造影法后对肝尾叶乳头突检查,总结肝硬化肝尾叶乳头突的声像图表现,并对误诊、漏诊的病例图像对比分析,探讨肝硬化背景下肝尾叶乳头突鉴别诊断的改进方法.方法:选择我院门诊及住院的有增强 CT 资料的肝硬化患者210例,我们先常规做腹腔脏器检查,并观察有无乳头突存在,并记录其大小,形态.再饮用助显剂做胃肠检查时,再次观察有无乳头突存在,并记录其大小,形态.结果:常规超声检查210例病人中,统计显示率:13.8%,误诊率:6.2%(误诊率=漏诊率+假阳性+假阴性).胃肠造影后超声检查210例病人中:统计显示率:18.1%,误诊率:1.4%(误诊率=漏诊率+假阳性+假阴性).结论:胃饮助显剂充盈后做声窗超声鉴别诊断肝尾叶乳头突及比邻结构,与常规超声检查相比,诊断符合率明显提高,帮助鉴别诊断,值得推广应用.
Objective:Through the liver cirrhosis patient conventional ultrasonic inspection and gastrointestinal imaging method after the caudate lobe papillary process inspection, review cirrhosis of the liver caudate lobe papillary process of ultrasonographic performance, and the misdiagnosis and missed diagnosis cases image contrast analysis, this paper discusses the background of cirrhosis of the liver caudate lobe papillary process differential diagnosis methods of improvement.Methods:Our choice of inpatient and outpatient have enhanced CT data of 210 cases of patients with liver cirrhosis, we first do conventional abdominal viscera check, and observe whether papillary process exists, and record the size, shape. To drink to help show agent do gastrointestinal examination, look again for papillary process exists, and record the size, shape. Results:The conventional ultrasound in 210 patients, statistics show that rate: 13.8%, the misdiagnosis rate: 6.2% (the misdiagnosis rate = the missed + false positive and false negative). Gastrointestinal angiography after ultrasound 210 patients: statistics show rate: 18.1%, the misdiagnosis rate: 1.4% (the misdiagnosis rate = the missed + false positive and false negative). Conclusion:The stomach drink help show agent after filling moment window ultrasonic differential diagnosis of liver caudate lobe papillary process and structure, and a conventional ultrasound diagnosis coincidence rate compared to increased significantly, and help the differential diagnosis, it is worth for spreading application.

Cirrhosis backgroundCaudate lobe papillary processMisdiagnosis misdiagnosis analysisImproving methods

周艳芳

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山东省博兴县中医医院超声科 山东 博兴 256500

肝硬化背景 肝尾叶乳头突 漏诊误诊分析 改进方法

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(1)
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