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超声诊断在胆结石患者中的临床应用价值

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目的:分析超声诊断胆结石的价值.方法:选取本中心在2020年1月~2023年12月收治的疑似胆结石患者120例,均采取超声检查,与综合检查结果做对比,观察诊断效果.主要就超声对胆结石的总检出率,诊断的灵敏度、特异度,准确度及胆结石的超声特征进行分析.结果:综合检查确诊胆结石110例,超声对胆结石的检出率为97.3%,与综合检查差异不显著(χ2=3.038,P=0.081);超声诊断胆结石灵敏度为97.3%,特异度为90.0%,准确度为96.7%.110例确诊为胆结石的患者,其中90个表现为典型的胆结石,其声像图表现为点状、致密、高密度回声,其后部可见明显的声影;10例患者表现为胆泥团样结石,其声像图表现为微小、疏松、密度均匀的、略强的回声团,其后部的声影微弱;10例患者为同心圆样结石,表现为中心强烈的回声斑点,边缘呈圆环形,其间点为均匀的低密度弱回声.结论:超声诊断胆结石,可通过清晰的影像学特征,对病灶特征进行分析,提升了胆结石的检出率;超声对胆结石的诊断灵敏度、特异度及准确度高,为胆结石的临床诊断提供了重要依据,可方便综合检查顺利开展.
Clinical Value of Ultrasound Diagnosis in Patients with Gallstones
Objective:To analyze the value of ultrasound in diagnosing gallstones.Methods:A total of 120 suspected gallstone patients admitted to our center from January 2020 to December 2023 were selected,all of whom underwent ultrasound examination and compared with surgical results to observe the diagnostic effect.Mainly analyze the overall detection rate,diagnostic sensitivity,specificity,and accuracy of ultrasound for gallstones,as well as the ultrasound characteristics of gallstones.Results:110 cases of confirmed gallstones were confirmed by comprehensive inspection,and the detection rate of gallstones by ultrasound was 97.3%,which was not significantly different from comprehensive inspection(χ2=3.038,P=0.081);Ultrasound diagnosis of gallstones has a sensitivity of 97.3%,specificity of 90.0%,and accuracy of 96.7%.110 patients diagnosed with gallstones,of which 90 showed typical gallstones,with punctate,dense,and high-density echogenicity on the ultrasound image,and obvious acoustic shadows visible in the posterior part;10 patients presented with gallstone like stones,which appeared as small,loose,uniformly dense,slightly strong echogenic masses on the ultrasound image,with weak acoustic shadows in the posterior part;10 patients presented with concentric round stones,characterized by strong echogenic spots at the center,circular edges,and uniform low-density weak echoes at the midpoint.Conclusion:Ultrasound diagnosis of gallstones can improve the detection rate of gallstones by analyzing the characteristics of lesions through clear imaging features;Ultrasound has high diagnostic sensitivity,specificity,and accuracy for gallstones,providing important evidence for the clinical diagnosis of gallstones and facilitating smooth comprehensive inspection.

gallstonesultrasounddetection ratediagnostic efficacy

马秋华、纪钰铭、林志尤

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厦门市翔安区马巷街道社区卫生服务中心超声科 (福建 厦门 361101)

厦门市翔安区马巷街道社区卫生服务中心放射科 (福建 厦门 361101)

胆结石 超声 检出率 诊断效能

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)