摘要
目的分析高原地区藏族人群胆结石患者的超声表现及诊断价值。方法选取2019年8月四川大学华西第四医院来源于西藏自治区拉萨市128例疑似胆结石体检者作为研究对象,所有纳入患者均行超声检查,以影像学检查为对照,分析超声检查对胆结石的诊断符合率及相关影像学表现。结果超声检查对胆结石诊断率为94.92%,诊断灵敏度为93.22%(110/118),特异度为80.00%(8/10);诊断正确的110例胆结石中,50例患者胆囊腔内出现较强光团;32例胆囊体积明显增大,形态饱满;16例胆囊前半部分呈弧形强回声,胆囊腔被声影取代。结论超声检查对于高原地区藏族人群胆结石的诊断灵敏度和特异度较高,可清晰显示其影像特征。
Objective To analyze the ultrasound manifestation of Tibetan patients with gallstone in plateau section and its diagnostic value.Methods Selected from the fourth West China Hospital of Sichuan University in August 2019,Totally 128 physical examinees with suspected gallstones from Lhasa City,Tibet Autonomous Region were taken as the study objects.Imaging examination as control,and the diagnostic accuracy of ultrasound for gallstones and related imaging manifestations were analyzed.Results The diagnostic accuracy of ultrasonography for gallstones was 94.92%,the diagnostic sensitivity was 93.22%(110/118),and the specificity was 80.00%(8/10).Among the 110 cases with gallstones diagnosed correctly,a strong light mass appeared in the gallbladder cavity of 50 cases,the volume of the gallbladder increased significantly in 32 cases and the shape was full,16 cases had strong arcuate echoes in the front part of the gallbladder,and the gallbladder cavity was replaced by sound shadow.Conclusion Ultrasonography has a high sensitivity and specificity in the diagnosis of gallstones in Tibetan patients with gallstone in plateau section,and can clearly display its image characteristics.
作者
唐亚丽
杨欢
TANG Yali;YANG Huan(West China Fourth Hospital of Sichuan University,Chengdu,Sichuan 610041,China)
出处
《大医生》
2020年第1期126-128,共3页
Doctor
关键词
高原地区
藏族
胆结石
超声
影像特征
诊断价值
plateau region
tibetans
gallstones
ultrasound
imaging features
diagnostic value
