摘要
目的探讨线阵超声内镜(EUS)在缺乏磁共振胰胆管造影(MRCP)结果,且临床上怀疑胆总管结石患者中的应用价值。方法回顾分析2013年4月至2019年4月313例可疑胆总管结石患者临床资料,患者因未能完成MRCP检查而行EUS检查。结果线阵EUS诊断为胆总管结石127例,均行经内镜逆行性胰胆管造影术(ERCP)或外科手术取石。线阵EUS诊断胆总管结石灵敏度、特异度、阳性预测值和阴性预测值分别为100.00%、98.82%、98.43%、100.00%,EUS与ERCP诊断符合率为99.31%。结论线阵EUS作为无创、安全、准确的检查手段,可用于缺乏MRCP的可疑胆总管结石的诊断。
Objective To explore the application value of linear endoscopic ultrasound(EUS)in the patients suspected with choledocholithiasis and lack of magnetic resonance cholangiopancreatography(MRCP).Methods From April 2013 to April 2019,313 patients with suspected choledocholithiasis were analyzed retrospectively.The patients failed to complete MRCP and underwent EUS.Results A total of 127 cases of choledocholithiasis were diagnosed by linear EUS,all the patients were successfully removed stones with endoscopic retrograde cholangiopancreatography(ERCP)or by surgical.The sensitivity,specificity,positive predictive value and negative predictive value of EUS in the diagnosis of choledocholithiasis were 100.00%,98.82%,98.43%and 100.00%,respectively.The coincidence rate between EUS and ERCP was 99.31%.Conclusion Linear EUS is a noninvasive,safe and accurate method for the diagnosis of suspected choledocholithiasis without MRCP.
作者
夏邦红
商玉兰
田川
王敏
XIA Banghong;SHANG Yulan;TIAN Chuan;WANG Min(Department of Hepatobiliary,Nanchuan District People′s Hospital of Chongqing,Chongqing 408400,China;Department of Gastroenterology,Nanchuan District People′s Hospital of Chongqing,Chongqing 408400,China)
出处
《检验医学与临床》
CAS
2020年第15期2196-2198,共3页
Laboratory Medicine and Clinic
关键词
线阵超声内镜
胆总管结石
磁共振胰胆管造影
经内镜逆行性胰胆管造影术
linear endoscopic ultrasonography
choledocholithiasis
magnetic resonance cholangiopancreatography
endoscopic retrograde cholangiopancreatography
